| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,328 |
3,399 |
$125K |
| 92370 |
|
4,041 |
3,606 |
$46K |
| V2020 |
Frames, purchases |
398 |
398 |
$40K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
319 |
318 |
$15K |
| 92015 |
Determination of refractive state |
511 |
510 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
106 |
106 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
37 |
37 |
$2K |
| S0590 |
Integral lens service, miscellaneous services reported separately |
144 |
144 |
$0.00 |