| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
2,490 |
2,406 |
$157K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,287 |
1,241 |
$98K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
2,073 |
2,026 |
$61K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,477 |
1,423 |
$49K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
511 |
506 |
$45K |
| 92015 |
Determination of refractive state |
1,762 |
1,709 |
$34K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
434 |
431 |
$18K |
| 92225 |
|
136 |
135 |
$4K |