| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,138 |
1,134 |
$17K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
621 |
614 |
$15K |
| V2020 |
Frames, purchases |
640 |
632 |
$13K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
263 |
263 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
144 |
144 |
$10K |
| 92015 |
Determination of refractive state |
130 |
130 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
324 |
321 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
44 |
44 |
$1K |
| 3072F |
|
13 |
13 |
$0.00 |