| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,495 |
1,425 |
$25K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,063 |
1,016 |
$21K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
623 |
595 |
$17K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
314 |
296 |
$10K |
| 92002 |
|
276 |
264 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
924 |
891 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
126 |
120 |
$4K |
| 92015 |
Determination of refractive state |
113 |
99 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
73 |
61 |
$2K |
| V2781 |
Progressive lens, per lens |
16 |
12 |
$220.00 |
| V2299 |
Specialty bifocal (by report) |
16 |
12 |
$150.80 |
| V2750 |
Anti-reflective coating, per lens |
196 |
181 |
$0.00 |