| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,797 |
1,790 |
$55K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
796 |
795 |
$38K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
718 |
718 |
$35K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,576 |
1,574 |
$31K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,142 |
769 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
55 |
41 |
$362.40 |
| 92341 |
|
12 |
12 |
$274.16 |