| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Deluxe frame |
1,423 |
1,421 |
$67K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,224 |
1,188 |
$54K |
| V2020 |
Frames, purchases |
1,532 |
1,463 |
$45K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,321 |
1,199 |
$33K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,897 |
1,883 |
$28K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
211 |
202 |
$10K |
| 92015 |
Determination of refractive state |
389 |
369 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
990 |
919 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,083 |
1,044 |
$416.50 |
| V2750 |
Anti-reflective coating, per lens |
20 |
20 |
$0.00 |