| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
9,365 |
8,869 |
$565K |
| V2199 |
Not otherwise classified, single vision lens |
7,448 |
7,142 |
$511K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,292 |
4,064 |
$409K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,385 |
3,214 |
$403K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
5,174 |
4,882 |
$189K |
| 92015 |
Determination of refractive state |
7,903 |
7,498 |
$90K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
298 |
264 |
$38K |
| V2781 |
Progressive lens, per lens |
104 |
95 |
$15K |
| V2299 |
Specialty bifocal (by report) |
62 |
61 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
167 |
166 |
$6K |
| 92370 |
|
247 |
240 |
$5K |
| 92250 |
|
78 |
76 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
36 |
36 |
$1K |
| V2756 |
Eye glass case |
203 |
200 |
$240.09 |