| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,304 |
4,113 |
$217K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,458 |
3,329 |
$123K |
| V2020 |
Frames, purchases |
3,174 |
3,009 |
$113K |
| 92015 |
Determination of refractive state |
5,775 |
5,453 |
$93K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,232 |
2,121 |
$63K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,953 |
1,831 |
$43K |
| 92002 |
|
623 |
606 |
$27K |
| V2756 |
Eye glass case |
3,384 |
3,233 |
$4K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
66 |
63 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
15 |
14 |
$258.60 |