| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
520 |
493 |
$38K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
350 |
329 |
$37K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
239 |
226 |
$30K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
348 |
333 |
$24K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
353 |
337 |
$11K |
| 92015 |
Determination of refractive state |
630 |
550 |
$10K |
| V2730 |
Special base curve, glass or plastic, per lens |
156 |
148 |
$8K |
| V2300 |
Sphere, trifocal, plano to plus or minus 4.00d, per lens |
40 |
38 |
$5K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
29 |
29 |
$3K |
| 92342 |
|
40 |
38 |
$2K |
| 92341 |
|
16 |
16 |
$608.16 |