| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,051 |
1,009 |
$42K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
493 |
476 |
$24K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
297 |
289 |
$20K |
| V2760 |
Scratch resistant coating, per lens |
798 |
775 |
$16K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
151 |
147 |
$7K |
| 92015 |
Determination of refractive state |
1,100 |
1,046 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
25 |
25 |
$2K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
199 |
192 |
$2K |
| 92250 |
|
30 |
29 |
$1K |