| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
470 |
427 |
$22K |
| V2020 |
Frames, purchases |
584 |
524 |
$19K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
236 |
215 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
573 |
523 |
$13K |
| 92250 |
|
577 |
539 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
118 |
110 |
$9K |
| 92015 |
Determination of refractive state |
620 |
581 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
162 |
91 |
$5K |