| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
635 |
617 |
$14K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
360 |
349 |
$11K |
| 92015 |
Determination of refractive state |
837 |
810 |
$9K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
161 |
150 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
413 |
400 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$965.04 |