| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,380 |
1,304 |
$18K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
65 |
62 |
$2K |
| 92015 |
Determination of refractive state |
323 |
315 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
951 |
925 |
$299.00 |
| V2020 |
Frames, purchases |
1,115 |
1,044 |
$232.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
724 |
693 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
77 |
66 |
$0.00 |