| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
422 |
369 |
$14K |
| 92015 |
Determination of refractive state |
911 |
845 |
$11K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
191 |
185 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
82 |
82 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
245 |
240 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
45 |
41 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
51 |
47 |
$2K |