| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
970 |
961 |
$22K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
525 |
513 |
$18K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
946 |
939 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
211 |
205 |
$8K |
| 92015 |
Determination of refractive state |
840 |
829 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
604 |
598 |
$2K |
| V2750 |
Anti-reflective coating, per lens |
145 |
141 |
$0.00 |