| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
614 |
571 |
$20K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
237 |
213 |
$15K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
565 |
537 |
$13K |
| 92015 |
Determination of refractive state |
815 |
697 |
$12K |
| 92002 |
|
142 |
126 |
$9K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
146 |
132 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
83 |
83 |
$3K |