| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,270 |
1,211 |
$51K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
611 |
569 |
$35K |
| V2760 |
Scratch resistant coating, per lens |
1,244 |
1,136 |
$21K |
| 92015 |
Determination of refractive state |
2,021 |
1,856 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
94 |
85 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
62 |
57 |
$2K |