| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
18,172 |
17,218 |
$34K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
8,436 |
7,937 |
$33K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
13,258 |
12,598 |
$31K |
| 92002 |
|
4,926 |
4,663 |
$27K |
| V2781 |
Progressive lens, per lens |
2,185 |
2,068 |
$12K |
| V2299 |
Specialty bifocal (by report) |
2,195 |
2,078 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
10,344 |
9,781 |
$10K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
615 |
577 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
596 |
593 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
396 |
392 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
605 |
556 |
$1K |
| 92310 |
|
24 |
13 |
$152.00 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
21 |
14 |
$37.70 |
| V2744 |
Tint, photochromatic, per lens |
1,362 |
1,266 |
$0.00 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
13 |
13 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
688 |
647 |
$0.00 |
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
14 |
14 |
$0.00 |
| 92015 |
Determination of refractive state |
43 |
35 |
$0.00 |