| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,945 |
1,785 |
$74K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,480 |
1,218 |
$60K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
827 |
746 |
$46K |
| V2760 |
Scratch resistant coating, per lens |
1,729 |
1,593 |
$27K |
| 92015 |
Determination of refractive state |
2,413 |
2,175 |
$12K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
1,004 |
921 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
81 |
70 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
42 |
41 |
$2K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
34 |
14 |
$581.04 |