| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
591 |
579 |
$20K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
280 |
278 |
$20K |
| 92015 |
Determination of refractive state |
588 |
576 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
450 |
440 |
$5K |
| 92002 |
|
39 |
39 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
75 |
75 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
15 |
15 |
$584.70 |