| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,252 |
1,241 |
$63K |
| V2199 |
Not otherwise classified, single vision lens |
1,260 |
1,247 |
$48K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
621 |
619 |
$39K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
373 |
369 |
$24K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,241 |
1,229 |
$20K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,273 |
1,257 |
$19K |
| 92015 |
Determination of refractive state |
1,634 |
1,628 |
$8K |