| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
227 |
218 |
$7K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
184 |
170 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
159 |
149 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
240 |
226 |
$3K |
| 92015 |
Determination of refractive state |
315 |
299 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
28 |
28 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
64 |
59 |
$926.16 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
27 |
26 |
$487.20 |