| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
327 |
323 |
$7K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
116 |
116 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
100 |
100 |
$3K |
| 92015 |
Determination of refractive state |
85 |
85 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
366 |
357 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
58 |
56 |
$0.00 |
| V2020 |
Frames, purchases |
450 |
437 |
$0.00 |