| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
632 |
591 |
$24K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
627 |
592 |
$22K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
188 |
178 |
$14K |
| 92015 |
Determination of refractive state |
1,076 |
1,022 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
900 |
850 |
$2K |
| V2020 |
Frames, purchases |
658 |
624 |
$1K |
| V2025 |
Deluxe frame |
40 |
38 |
$0.00 |