| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
2,609 |
2,327 |
$36K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,418 |
1,263 |
$21K |
| 92002 |
|
694 |
656 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
627 |
502 |
$12K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
382 |
361 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
254 |
238 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
224 |
188 |
$1K |
| V2781 |
Progressive lens, per lens |
55 |
41 |
$1K |
| V2299 |
Specialty bifocal (by report) |
55 |
41 |
$829.40 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$331.27 |
| V2744 |
Tint, photochromatic, per lens |
20 |
14 |
$0.00 |