| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
821 |
791 |
$67K |
| V2020 |
Frames, purchases |
599 |
595 |
$43K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
459 |
442 |
$42K |
| 92015 |
Determination of refractive state |
1,534 |
1,482 |
$27K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
839 |
814 |
$26K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
172 |
171 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
67 |
66 |
$6K |