| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,866 |
3,454 |
$81K |
| V2020 |
Frames, purchases |
4,059 |
3,634 |
$74K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,301 |
1,143 |
$57K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,059 |
2,757 |
$43K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
952 |
823 |
$41K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,078 |
970 |
$12K |
| 92015 |
Determination of refractive state |
2,331 |
2,033 |
$11K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
392 |
344 |
$8K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
266 |
238 |
$6K |