| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
663 |
530 |
$34K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
488 |
481 |
$22K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
272 |
266 |
$15K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
407 |
316 |
$12K |
| V2020 |
Frames, purchases |
677 |
585 |
$8K |
| 92015 |
Determination of refractive state |
988 |
961 |
$5K |