| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
2,318 |
1,971 |
$337K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,697 |
1,563 |
$172K |
| V2020 |
Frames, purchases |
3,170 |
2,670 |
$118K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,175 |
2,669 |
$112K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
773 |
716 |
$92K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,802 |
1,427 |
$78K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,138 |
2,644 |
$59K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,346 |
767 |
$44K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
197 |
140 |
$6K |
| 92015 |
Determination of refractive state |
423 |
379 |
$5K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
66 |
38 |
$2K |