| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
28,137 |
24,862 |
$968K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
11,344 |
9,971 |
$918K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,172 |
6,382 |
$712K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
14,370 |
12,030 |
$645K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
3,793 |
2,983 |
$439K |
| 92015 |
Determination of refractive state |
18,520 |
16,319 |
$252K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,010 |
1,667 |
$129K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,032 |
1,742 |
$70K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,247 |
1,056 |
$53K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
12 |
12 |
$770.51 |