| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
2,138 |
1,865 |
$64K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,000 |
932 |
$52K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
804 |
764 |
$44K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,479 |
1,417 |
$6K |
| 92015 |
Determination of refractive state |
1,797 |
1,691 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,238 |
1,047 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
712 |
618 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
101 |
90 |
$266.22 |
| V2025 |
Deluxe frame |
16 |
16 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
77 |
70 |
$0.00 |