| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
2,846 |
2,794 |
$80K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,878 |
1,841 |
$36K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
706 |
690 |
$33K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
667 |
663 |
$33K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
344 |
344 |
$18K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
534 |
531 |
$13K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
595 |
587 |
$4K |
| 92341 |
|
30 |
30 |
$664.22 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
13 |
13 |
$377.00 |