| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
3,076 |
2,924 |
$126K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,141 |
2,065 |
$98K |
| 92015 |
Determination of refractive state |
4,822 |
4,611 |
$27K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
765 |
699 |
$26K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
1,146 |
1,090 |
$11K |
| 92002 |
|
37 |
37 |
$2K |
| V2760 |
Scratch resistant coating, per lens |
55 |
45 |
$612.68 |