| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
8,120 |
7,434 |
$285K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,161 |
2,936 |
$272K |
| V2020 |
Frames, purchases |
8,354 |
7,639 |
$247K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,724 |
2,572 |
$205K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,674 |
6,138 |
$139K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,261 |
3,930 |
$132K |
| 92015 |
Determination of refractive state |
7,316 |
6,821 |
$81K |
| 92250 |
|
2,814 |
2,596 |
$65K |
| 92341 |
|
1,182 |
1,065 |
$31K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
485 |
444 |
$22K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
262 |
248 |
$11K |
| 92370 |
|
70 |
67 |
$2K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
29 |
27 |
$677.76 |
| V2750 |
Anti-reflective coating, per lens |
19 |
19 |
$0.00 |