| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,998 |
1,969 |
$68K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
733 |
717 |
$49K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,232 |
1,219 |
$22K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
297 |
294 |
$5K |
| V2750 |
Anti-reflective coating, per lens |
552 |
542 |
$4K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
124 |
122 |
$2K |
| V2799 |
Vision item or service, miscellaneous |
19 |
14 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
13 |
13 |
$0.00 |