| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,006 |
887 |
$45K |
| V2020 |
Frames, purchases |
1,133 |
981 |
$33K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
443 |
370 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
819 |
711 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
218 |
186 |
$15K |
| 92015 |
Determination of refractive state |
1,009 |
902 |
$12K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
50 |
49 |
$4K |