| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,208 |
1,188 |
$24K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
333 |
333 |
$23K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,053 |
1,035 |
$20K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,161 |
1,081 |
$17K |
| 92015 |
Determination of refractive state |
913 |
913 |
$15K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,110 |
1,197 |
$9K |
| V2760 |
Scratch resistant coating, per lens |
1,588 |
818 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
107 |
107 |
$8K |