| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,009 |
927 |
$93K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
497 |
472 |
$57K |
| V2020 |
Frames, purchases |
1,151 |
1,067 |
$31K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
290 |
275 |
$31K |
| 92015 |
Determination of refractive state |
1,315 |
1,256 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,124 |
1,046 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
470 |
431 |
$5K |