| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
780 |
743 |
$29K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
682 |
650 |
$28K |
| V2020 |
Frames, purchases |
896 |
849 |
$25K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
414 |
395 |
$17K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
346 |
332 |
$16K |
| 92015 |
Determination of refractive state |
849 |
835 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
366 |
347 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
510 |
467 |
$6K |