| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
9,862 |
9,734 |
$473K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,001 |
3,975 |
$310K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,326 |
2,297 |
$147K |
| V2020 |
Frames, purchases |
5,867 |
5,757 |
$88K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
941 |
931 |
$50K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
619 |
610 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
99 |
98 |
$4K |