| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
2,032 |
2,013 |
$36K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,602 |
1,588 |
$35K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
846 |
839 |
$31K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
730 |
726 |
$27K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
892 |
884 |
$10K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
134 |
134 |
$5K |