| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
351 |
242 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
95 |
81 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
291 |
200 |
$5K |
| 92015 |
Determination of refractive state |
342 |
238 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
287 |
197 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
86 |
69 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
181 |
122 |
$0.00 |