| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
769 |
709 |
$25K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
363 |
342 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
225 |
212 |
$17K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
893 |
433 |
$11K |
| V2799 |
Vision item or service, miscellaneous |
667 |
636 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
167 |
109 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
94 |
90 |
$598.02 |