| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
997 |
940 |
$41K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
291 |
279 |
$20K |
| V2760 |
Scratch resistant coating, per lens |
1,031 |
962 |
$14K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
299 |
211 |
$9K |
| 92015 |
Determination of refractive state |
1,338 |
1,260 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
43 |
40 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
102 |
66 |
$2K |