| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,260 |
2,218 |
$88K |
| V2020 |
Frames, purchases |
1,552 |
1,511 |
$58K |
| 92015 |
Determination of refractive state |
1,955 |
1,831 |
$30K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
601 |
587 |
$21K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
699 |
681 |
$20K |
| 92002 |
|
347 |
343 |
$15K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
395 |
384 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
117 |
113 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
73 |
45 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
33 |
33 |
$2K |
| V2756 |
Eye glass case |
831 |
803 |
$906.88 |