| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,733 |
2,433 |
$169K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,614 |
1,546 |
$138K |
| V2020 |
Frames, purchases |
3,094 |
2,739 |
$118K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,546 |
1,098 |
$60K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,140 |
1,928 |
$48K |
| 92015 |
Determination of refractive state |
2,737 |
2,615 |
$34K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
322 |
310 |
$33K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
112 |
69 |
$4K |
| 92341 |
|
54 |
49 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
15 |
14 |
$802.18 |