| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
1,255 |
1,030 |
$170K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,163 |
1,076 |
$125K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,070 |
1,010 |
$101K |
| V2025 |
Deluxe frame |
1,107 |
937 |
$87K |
| 92082 |
|
1,309 |
1,228 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
221 |
213 |
$19K |
| V2750 |
Anti-reflective coating, per lens |
592 |
479 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
353 |
288 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
30 |
30 |
$1K |
| V2020 |
Frames, purchases |
39 |
35 |
$1K |
| V2755 |
U-v lens, per lens |
25 |
16 |
$844.50 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
51 |
45 |
$609.84 |
| 92015 |
Determination of refractive state |
311 |
301 |
$109.73 |