| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
596 |
573 |
$21K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
491 |
482 |
$19K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
451 |
439 |
$17K |
| 92015 |
Determination of refractive state |
962 |
938 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
447 |
446 |
$9K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
525 |
502 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
468 |
448 |
$6K |