| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
459 |
420 |
$30K |
| 92015 |
Determination of refractive state |
1,289 |
1,090 |
$18K |
| V2020 |
Frames, purchases |
602 |
540 |
$16K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
388 |
347 |
$12K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
259 |
244 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
101 |
69 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
160 |
148 |
$2K |
| 92002 |
|
30 |
30 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36 |
24 |
$1K |
| V2756 |
Eye glass case |
653 |
588 |
$707.58 |