| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13,401 |
12,834 |
$1.61M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
15,688 |
14,944 |
$1.49M |
| V2020 |
Frames, purchases |
29,170 |
27,090 |
$1.16M |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
15,930 |
14,816 |
$782K |
| 92015 |
Determination of refractive state |
31,406 |
29,908 |
$483K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,201 |
2,903 |
$215K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
1,391 |
1,224 |
$214K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,767 |
4,456 |
$190K |
| V2755 |
U-v lens, per lens |
4,418 |
4,095 |
$119K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,890 |
1,756 |
$79K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
1,033 |
958 |
$54K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,286 |
902 |
$54K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
483 |
457 |
$30K |
| 92002 |
|
704 |
681 |
$13K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
482 |
456 |
$12K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
28 |
27 |
$1K |
| 92310 |
|
69 |
67 |
$783.00 |
| V2750 |
Anti-reflective coating, per lens |
50 |
47 |
$140.00 |