| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
542 |
489 |
$21K |
| V2020 |
Frames, purchases |
502 |
450 |
$15K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
325 |
307 |
$15K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
309 |
288 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
195 |
175 |
$8K |
| 92015 |
Determination of refractive state |
547 |
540 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
255 |
213 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
302 |
249 |
$4K |