| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,939 |
1,861 |
$27K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
571 |
553 |
$21K |
| 92015 |
Determination of refractive state |
996 |
976 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
116 |
115 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,668 |
1,645 |
$170.00 |
| V2020 |
Frames, purchases |
1,541 |
1,528 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
802 |
799 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
252 |
250 |
$0.00 |