| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
38,902 |
38,790 |
$1.18M |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
23,017 |
22,932 |
$536K |
| V2020 |
Frames, purchases |
33,458 |
33,398 |
$335K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
13,416 |
13,368 |
$303K |
| 92370 |
|
10,204 |
10,023 |
$275K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
6,046 |
6,018 |
$125K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
2,679 |
2,672 |
$56K |
| V2715 |
Prism, per lens |
1,605 |
1,598 |
$25K |
| V2108 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
876 |
873 |
$18K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
640 |
639 |
$13K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
507 |
504 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
83 |
72 |
$6K |
| 92015 |
Determination of refractive state |
270 |
255 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
30 |
30 |
$3K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
38 |
38 |
$906.75 |
| V2109 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens |
24 |
24 |
$390.60 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
14 |
14 |
$320.85 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,562 |
1,543 |
$75.00 |