| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,254 |
1,237 |
$105K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
575 |
566 |
$102K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
810 |
805 |
$81K |
| V2020 |
Frames, purchases |
1,145 |
1,131 |
$81K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
477 |
467 |
$57K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,244 |
1,227 |
$39K |
| 92015 |
Determination of refractive state |
2,057 |
2,035 |
$38K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
275 |
274 |
$17K |