| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
785 |
727 |
$29K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
654 |
615 |
$26K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
281 |
256 |
$14K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
297 |
273 |
$8K |
| 92015 |
Determination of refractive state |
476 |
431 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
383 |
354 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
99 |
86 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
88 |
88 |
$3K |