| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
2,278 |
2,149 |
$182K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
817 |
759 |
$62K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,779 |
1,677 |
$52K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
811 |
777 |
$51K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
737 |
683 |
$40K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
464 |
451 |
$40K |
| 92015 |
Determination of refractive state |
2,229 |
2,005 |
$32K |
| V2760 |
Scratch resistant coating, per lens |
990 |
964 |
$25K |
| V2755 |
U-v lens, per lens |
673 |
662 |
$14K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
327 |
326 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
14 |
$2K |
| V2750 |
Anti-reflective coating, per lens |
14 |
14 |
$454.00 |