| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
5,634 |
3,492 |
$943K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,423 |
2,314 |
$281K |
| V2020 |
Frames, purchases |
5,803 |
3,600 |
$263K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
5,840 |
3,608 |
$257K |
| V2750 |
Anti-reflective coating, per lens |
5,816 |
3,598 |
$160K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,156 |
1,965 |
$159K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,440 |
1,342 |
$150K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,848 |
3,634 |
$119K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,428 |
874 |
$89K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,166 |
718 |
$62K |
| 92015 |
Determination of refractive state |
3,929 |
3,609 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
77 |
73 |
$3K |
| V2744 |
Tint, photochromatic, per lens |
115 |
81 |
$3K |