| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,319 |
1,198 |
$51K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
682 |
622 |
$34K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
606 |
540 |
$26K |
| V2760 |
Scratch resistant coating, per lens |
616 |
578 |
$10K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
237 |
215 |
$10K |
| 92002 |
|
182 |
169 |
$9K |
| 92015 |
Determination of refractive state |
1,513 |
1,326 |
$8K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
14 |
14 |
$0.00 |
| 3072F |
|
15 |
15 |
$0.00 |