| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
791 |
730 |
$44K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,063 |
988 |
$36K |
| V2020 |
Frames, purchases |
991 |
909 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
339 |
316 |
$17K |
| 92015 |
Determination of refractive state |
1,444 |
1,343 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,140 |
1,053 |
$12K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
121 |
110 |
$5K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
56 |
54 |
$3K |
| V2025 |
Deluxe frame |
259 |
241 |
$0.00 |