| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
771 |
605 |
$37K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
715 |
700 |
$32K |
| V2020 |
Frames, purchases |
889 |
789 |
$12K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
191 |
151 |
$6K |
| 92015 |
Determination of refractive state |
653 |
632 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
39 |
26 |
$1K |