| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,938 |
1,693 |
$138K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,451 |
1,423 |
$128K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,550 |
1,368 |
$118K |
| V2020 |
Frames, purchases |
1,919 |
1,720 |
$64K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
693 |
660 |
$61K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,149 |
1,963 |
$48K |
| 92015 |
Determination of refractive state |
2,689 |
2,599 |
$33K |
| 99072 |
|
847 |
821 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
26 |
26 |
$154.68 |