| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
4,761 |
4,555 |
$196K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,468 |
3,282 |
$170K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,626 |
2,499 |
$161K |
| 92015 |
Determination of refractive state |
5,399 |
5,164 |
$30K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
349 |
327 |
$29K |
| V2760 |
Scratch resistant coating, per lens |
1,320 |
1,190 |
$22K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
1,968 |
1,887 |
$18K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
243 |
240 |
$11K |
| 92250 |
|
159 |
145 |
$6K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
65 |
62 |
$4K |