| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
269 |
255 |
$18K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
143 |
135 |
$11K |
| V2020 |
Frames, purchases |
268 |
254 |
$9K |
| 92250 |
|
320 |
314 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
256 |
246 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
66 |
65 |
$5K |
| 92015 |
Determination of refractive state |
440 |
414 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
30 |
29 |
$3K |