| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,627 |
1,590 |
$56K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,291 |
1,254 |
$53K |
| V2020 |
Frames, purchases |
1,727 |
1,687 |
$49K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
943 |
930 |
$39K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
602 |
594 |
$27K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
915 |
902 |
$19K |
| 92015 |
Determination of refractive state |
1,757 |
1,729 |
$19K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,094 |
1,040 |
$14K |