| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
8,044 |
2,276 |
$217K |
| V2020 |
Frames, purchases |
4,670 |
2,708 |
$139K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,468 |
1,447 |
$60K |
| 92002 |
|
752 |
735 |
$31K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
409 |
407 |
$17K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
349 |
344 |
$14K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
7,822 |
2,183 |
$2K |