| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,921 |
2,844 |
$92K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,593 |
1,555 |
$88K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,137 |
3,075 |
$79K |
| 92015 |
Determination of refractive state |
3,338 |
3,266 |
$66K |
| V2020 |
Frames, purchases |
3,008 |
2,932 |
$38K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
508 |
502 |
$35K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,589 |
1,521 |
$20K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
346 |
336 |
$15K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
834 |
808 |
$11K |