| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13 |
13 |
$0.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
23 |
23 |
$0.00 |
| 92015 |
Determination of refractive state |
47 |
47 |
$0.00 |
| V2020 |
Frames, purchases |
22 |
22 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
21 |
21 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
21 |
21 |
$0.00 |
| 92002 |
|
34 |
34 |
$0.00 |
| V2756 |
Eye glass case |
18 |
18 |
$0.00 |