| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
352 |
336 |
$12K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
297 |
287 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
252 |
246 |
$10K |
| 92015 |
Determination of refractive state |
587 |
571 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
285 |
284 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
322 |
307 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
308 |
294 |
$4K |