| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
698 |
664 |
$21K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
666 |
634 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
462 |
424 |
$19K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
313 |
305 |
$13K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
274 |
273 |
$12K |
| 92015 |
Determination of refractive state |
766 |
752 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
340 |
323 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
440 |
408 |
$6K |