| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
33,826 |
27,999 |
$954K |
| V2020 |
Frames, purchases |
26,081 |
21,052 |
$165K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
11,661 |
9,194 |
$157K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
7,016 |
5,810 |
$155K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,153 |
2,135 |
$97K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
10,214 |
7,991 |
$87K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,660 |
2,218 |
$53K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
3,802 |
2,945 |
$47K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
799 |
672 |
$22K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
1,297 |
1,008 |
$17K |
| 92341 |
|
519 |
493 |
$13K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
756 |
590 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
273 |
262 |
$3K |
| V2108 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
254 |
201 |
$3K |
| 92015 |
Determination of refractive state |
351 |
301 |
$2K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
182 |
151 |
$2K |
| V2102 |
Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens |
30 |
12 |
$770.00 |
| V2025 |
Deluxe frame |
46 |
41 |
$281.59 |
| V2111 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens |
14 |
14 |
$88.00 |