| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
752 |
699 |
$94K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
473 |
450 |
$45K |
| V2020 |
Frames, purchases |
782 |
721 |
$27K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
225 |
219 |
$26K |
| V2750 |
Anti-reflective coating, per lens |
765 |
708 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
747 |
695 |
$12K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
773 |
718 |
$11K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
232 |
211 |
$9K |
| 92015 |
Determination of refractive state |
1,210 |
1,149 |
$296.75 |