| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
21,574 |
21,116 |
$1.32M |
| V2025 |
Deluxe frame |
22,232 |
21,600 |
$1.05M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,634 |
8,444 |
$736K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,556 |
4,516 |
$474K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
22,817 |
22,169 |
$354K |
| 92250 |
|
13,023 |
12,698 |
$317K |
| 92015 |
Determination of refractive state |
14,016 |
13,770 |
$246K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
16,461 |
13,367 |
$213K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
4,920 |
4,377 |
$72K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
6,094 |
4,320 |
$69K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
945 |
906 |
$19K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
504 |
462 |
$8K |
| V2108 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
100 |
100 |
$2K |
| V2020 |
Frames, purchases |
355 |
354 |
$2K |
| V2799 |
Vision item or service, miscellaneous |
16 |
16 |
$0.00 |