| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,877 |
4,730 |
$308K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,062 |
2,990 |
$254K |
| V2020 |
Frames, purchases |
6,294 |
6,080 |
$232K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,626 |
1,575 |
$151K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,593 |
5,441 |
$126K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,429 |
2,371 |
$92K |
| 92015 |
Determination of refractive state |
5,212 |
5,073 |
$64K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
724 |
662 |
$52K |
| 92341 |
|
856 |
806 |
$20K |
| 92250 |
|
181 |
178 |
$5K |