| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
677 |
634 |
$63K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
377 |
365 |
$37K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
446 |
434 |
$25K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
308 |
305 |
$15K |
| 92015 |
Determination of refractive state |
883 |
823 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
188 |
188 |
$5K |
| V2025 |
Deluxe frame |
42 |
41 |
$2K |
| V2750 |
Anti-reflective coating, per lens |
37 |
37 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
14 |
14 |
$0.00 |