| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,573 |
2,499 |
$48K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,365 |
1,320 |
$45K |
| V2020 |
Frames, purchases |
2,943 |
2,854 |
$41K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,112 |
1,072 |
$36K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,382 |
2,301 |
$17K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
161 |
151 |
$5K |
| 92015 |
Determination of refractive state |
2,496 |
2,408 |
$1K |
| V2750 |
Anti-reflective coating, per lens |
283 |
277 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
98 |
89 |
$0.00 |
| V2781 |
Progressive lens, per lens |
14 |
14 |
$0.00 |
| V2299 |
Specialty bifocal (by report) |
14 |
14 |
$0.00 |