| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,217 |
1,178 |
$40K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
878 |
842 |
$36K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
804 |
771 |
$34K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
846 |
824 |
$27K |
| 92015 |
Determination of refractive state |
194 |
185 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
141 |
136 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
76 |
71 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
125 |
120 |
$802.00 |