| 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 |
1,156 |
1,057 |
$46K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
637 |
587 |
$40K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,016 |
963 |
$38K |
| V2020 |
Frames, purchases |
1,273 |
1,182 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,438 |
1,319 |
$8K |
| 92015 |
Determination of refractive state |
1,783 |
1,660 |
$8K |
| V2025 |
Deluxe frame |
257 |
229 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
83 |
77 |
$0.00 |