| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,516 |
2,768 |
$202K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,964 |
1,885 |
$88K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,027 |
2,433 |
$87K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
729 |
716 |
$43K |
| V2020 |
Frames, purchases |
3,526 |
2,781 |
$26K |
| 92015 |
Determination of refractive state |
2,819 |
2,748 |
$15K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
184 |
134 |
$7K |