| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
4,615 |
4,136 |
$669K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,090 |
4,765 |
$524K |
| V2020 |
Frames, purchases |
9,573 |
8,640 |
$359K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
9,471 |
8,555 |
$321K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
8,647 |
4,573 |
$236K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,776 |
1,700 |
$218K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
9,246 |
8,358 |
$176K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
3,622 |
2,146 |
$116K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,225 |
1,315 |
$61K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
551 |
335 |
$20K |
| 92015 |
Determination of refractive state |
1,066 |
940 |
$13K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
103 |
54 |
$2K |