| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
859 |
807 |
$37K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
494 |
471 |
$21K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
289 |
273 |
$19K |
| V2760 |
Scratch resistant coating, per lens |
700 |
662 |
$14K |
| 92015 |
Determination of refractive state |
1,026 |
985 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
28 |
27 |
$3K |
| V2755 |
U-v lens, per lens |
645 |
610 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
13 |
13 |
$806.75 |