| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,650 |
2,588 |
$61K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
920 |
901 |
$42K |
| V2020 |
Frames, purchases |
1,521 |
1,491 |
$33K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,011 |
986 |
$29K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,337 |
1,309 |
$12K |
| 92341 |
|
338 |
329 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
96 |
96 |
$5K |
| 92015 |
Determination of refractive state |
1,253 |
1,234 |
$1K |
| 3072F |
|
917 |
895 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
12 |
12 |
$0.00 |