| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
5,739 |
5,547 |
$371K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,763 |
5,582 |
$272K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,171 |
2,148 |
$176K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
5,560 |
5,383 |
$166K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,191 |
1,165 |
$105K |
| 92015 |
Determination of refractive state |
3,415 |
3,357 |
$64K |
| 92082 |
|
16 |
15 |
$503.68 |