| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,204 |
1,181 |
$38K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
426 |
412 |
$32K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
668 |
648 |
$26K |
| 92015 |
Determination of refractive state |
1,437 |
1,395 |
$17K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
808 |
789 |
$16K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
755 |
736 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
38 |
36 |
$4K |