| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
242 |
228 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
152 |
146 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
128 |
120 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
93 |
88 |
$3K |
| 92015 |
Determination of refractive state |
402 |
381 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
239 |
226 |
$840.00 |