| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
6,090 |
5,023 |
$861K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,196 |
4,812 |
$515K |
| V2020 |
Frames, purchases |
10,445 |
8,658 |
$386K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
10,445 |
8,634 |
$358K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,004 |
2,697 |
$342K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
10,059 |
4,916 |
$270K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
10,234 |
8,446 |
$191K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
4,594 |
2,574 |
$149K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
1,227 |
676 |
$44K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
688 |
484 |
$22K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
312 |
250 |
$21K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
81 |
42 |
$2K |
| 92015 |
Determination of refractive state |
166 |
136 |
$2K |
| V2108 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
47 |
24 |
$2K |