| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
648 |
577 |
$23K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
525 |
478 |
$21K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
410 |
385 |
$17K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
520 |
455 |
$14K |
| 92015 |
Determination of refractive state |
695 |
682 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
337 |
289 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
524 |
460 |
$7K |