| 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 |
606 |
520 |
$28K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
784 |
685 |
$22K |
| V2020 |
Frames, purchases |
630 |
537 |
$9K |
| 92015 |
Determination of refractive state |
1,014 |
877 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
193 |
157 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
801 |
676 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
62 |
46 |
$3K |
| V2025 |
Deluxe frame |
256 |
228 |
$0.00 |