| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,926 |
1,702 |
$73K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
572 |
513 |
$50K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
479 |
403 |
$45K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,193 |
739 |
$41K |
| V2755 |
U-v lens, per lens |
1,324 |
1,107 |
$28K |
| 92015 |
Determination of refractive state |
1,902 |
1,663 |
$25K |