| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
2,120 |
1,390 |
$188K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,098 |
1,979 |
$171K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,350 |
2,982 |
$71K |
| V2499 |
Variable sphericity lens, other type |
1,074 |
687 |
$69K |
| V2020 |
Frames, purchases |
4,342 |
2,976 |
$52K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,741 |
1,048 |
$27K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
406 |
392 |
$26K |
| 92015 |
Determination of refractive state |
2,894 |
2,752 |
$23K |