| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,568 |
1,248 |
$29K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
682 |
583 |
$29K |
| V2020 |
Frames, purchases |
1,373 |
1,174 |
$24K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
441 |
359 |
$18K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
966 |
786 |
$13K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
692 |
550 |
$8K |
| 92015 |
Determination of refractive state |
1,234 |
1,039 |
$5K |