| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
680 |
674 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
68 |
67 |
$2K |
| 92015 |
Determination of refractive state |
228 |
227 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
17 |
12 |
$66.54 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
94 |
94 |
$0.00 |
| V2020 |
Frames, purchases |
608 |
602 |
$0.00 |