| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
1,887 |
1,825 |
$97K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,427 |
1,394 |
$47K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,200 |
2,119 |
$37K |
| 92015 |
Determination of refractive state |
2,433 |
2,390 |
$32K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,707 |
1,651 |
$24K |
| V2020 |
Frames, purchases |
2,634 |
2,548 |
$23K |
| V2760 |
Scratch resistant coating, per lens |
1,883 |
1,821 |
$19K |
| V2755 |
U-v lens, per lens |
1,881 |
1,819 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
313 |
313 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,550 |
2,470 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
80 |
79 |
$0.00 |