| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
2,326 |
2,112 |
$41K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
922 |
878 |
$33K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,811 |
1,648 |
$28K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
834 |
776 |
$21K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
303 |
286 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
591 |
562 |
$5K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
33 |
33 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
47 |
47 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
37 |
37 |
$1K |