| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,590 |
1,481 |
$64K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,122 |
1,072 |
$51K |
| 92015 |
Determination of refractive state |
1,992 |
1,907 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
221 |
216 |
$11K |
| 92002 |
|
165 |
162 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
83 |
80 |
$4K |
| 92285 |
|
148 |
131 |
$2K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
211 |
194 |
$2K |
| 3072F |
|
13 |
13 |
$0.00 |