| 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 |
372 |
354 |
$15K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
270 |
251 |
$13K |
| V2020 |
Frames, purchases |
852 |
799 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
27 |
26 |
$2K |
| 92015 |
Determination of refractive state |
891 |
848 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
645 |
607 |
$1K |