| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,329 |
2,008 |
$69K |
| 92015 |
Determination of refractive state |
2,750 |
2,428 |
$50K |
| 92002 |
|
1,124 |
889 |
$40K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
532 |
441 |
$15K |
| V2020 |
Frames, purchases |
275 |
246 |
$7K |
| 92341 |
|
174 |
164 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
222 |
195 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
24 |
24 |
$995.19 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
44 |
42 |
$220.00 |