| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
391 |
377 |
$24K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
530 |
517 |
$19K |
| 92015 |
Determination of refractive state |
1,012 |
956 |
$15K |
| V2020 |
Frames, purchases |
406 |
395 |
$6K |
| 92002 |
|
80 |
79 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
66 |
65 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
28 |
26 |
$689.53 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
34 |
33 |
$658.00 |