| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
3,937 |
3,751 |
$161K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,653 |
3,504 |
$132K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,217 |
2,143 |
$114K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,257 |
3,087 |
$79K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,565 |
1,514 |
$78K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,698 |
1,597 |
$66K |
| 92015 |
Determination of refractive state |
4,079 |
3,746 |
$56K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
537 |
509 |
$17K |
| 92341 |
|
81 |
78 |
$2K |