| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
2,949 |
2,907 |
$91K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,324 |
1,298 |
$59K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,391 |
2,346 |
$47K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
914 |
903 |
$44K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,978 |
1,939 |
$20K |
| 92082 |
|
799 |
778 |
$10K |
| 92341 |
|
309 |
304 |
$7K |
| V2715 |
Prism, per lens |
1,348 |
1,306 |
$7K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
367 |
358 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
33 |
30 |
$319.35 |
| V2756 |
Eye glass case |
2,744 |
2,686 |
$221.67 |