| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
2,047 |
1,806 |
$198K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,995 |
1,915 |
$186K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,086 |
1,060 |
$103K |
| V2020 |
Frames, purchases |
2,327 |
2,002 |
$90K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,221 |
1,901 |
$40K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,245 |
1,922 |
$40K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
634 |
511 |
$29K |
| V2430 |
Variable asphericity lens, bifocal, full field, glass or plastic, per lens |
133 |
75 |
$13K |
| 92250 |
|
329 |
320 |
$12K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
139 |
126 |
$7K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
12 |
12 |
$908.16 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
13 |
12 |
$761.80 |
| 92015 |
Determination of refractive state |
3,358 |
3,241 |
$633.04 |