| Code | Description | Claims | Beneficiaries | Total Paid |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
26,722 |
25,005 |
$4.27M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
16,289 |
15,765 |
$1.71M |
| V2020 |
Frames, purchases |
25,613 |
23,721 |
$1.07M |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
21,850 |
20,343 |
$1.02M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
8,280 |
7,811 |
$971K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
29,513 |
27,536 |
$943K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
32,598 |
29,769 |
$620K |
| V2025 |
Deluxe frame |
6,001 |
5,719 |
$534K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
5,318 |
4,907 |
$258K |
| V2750 |
Anti-reflective coating, per lens |
5,615 |
5,423 |
$160K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
7,353 |
7,133 |
$132K |
| 92310 |
|
766 |
739 |
$88K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,273 |
2,116 |
$79K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
908 |
879 |
$65K |
| V2521 |
Contact lens, hydrophilic, toric, or prism ballast, per lens |
287 |
252 |
$47K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
674 |
620 |
$33K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
589 |
559 |
$31K |
| 92015 |
Determination of refractive state |
24,762 |
23,800 |
$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 |
133 |
127 |
$7K |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
45 |
43 |
$6K |
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
43 |
42 |
$701.40 |
| V2744 |
Tint, photochromatic, per lens |
65 |
54 |
$578.14 |