| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
567 |
519 |
$24K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
469 |
444 |
$17K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
267 |
246 |
$15K |
| V2020 |
Frames, purchases |
810 |
751 |
$5K |
| 92015 |
Determination of refractive state |
1,007 |
932 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
913 |
848 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
65 |
65 |
$2K |
| V2025 |
Deluxe frame |
38 |
31 |
$0.00 |