| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
2,806 |
2,482 |
$102K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
760 |
666 |
$81K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
868 |
803 |
$79K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,121 |
914 |
$54K |
| 92015 |
Determination of refractive state |
2,185 |
1,951 |
$32K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
62 |
53 |
$8K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
66 |
53 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
32 |
31 |
$1K |