| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,864 |
1,747 |
$56K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,335 |
1,268 |
$55K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,775 |
1,663 |
$54K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,025 |
988 |
$42K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
549 |
538 |
$25K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,087 |
1,015 |
$22K |
| 92015 |
Determination of refractive state |
1,906 |
1,870 |
$20K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,283 |
1,166 |
$16K |