| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,731 |
1,183 |
$85K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,100 |
1,078 |
$50K |
| V2102 |
Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens |
1,668 |
677 |
$33K |
| V2020 |
Frames, purchases |
1,584 |
1,289 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
221 |
219 |
$13K |
| 92015 |
Determination of refractive state |
1,400 |
1,382 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
202 |
188 |
$5K |