| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
560 |
542 |
$14K |
| V2020 |
Frames, purchases |
608 |
584 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
356 |
338 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
71 |
70 |
$2K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
64 |
63 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12 |
12 |
$355.41 |