| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,087 |
1,050 |
$44K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
384 |
368 |
$25K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
884 |
857 |
$23K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
190 |
187 |
$17K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
932 |
901 |
$16K |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
166 |
164 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
521 |
503 |
$4K |
| 92015 |
Determination of refractive state |
1,188 |
1,129 |
$4K |
| V2755 |
U-v lens, per lens |
175 |
173 |
$2K |
| V2760 |
Scratch resistant coating, per lens |
694 |
674 |
$1K |