| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
1,624 |
1,587 |
$207K |
| 92250 |
|
2,289 |
2,234 |
$124K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
793 |
779 |
$66K |
| 99205 |
Prolong outpt/office vis |
289 |
285 |
$49K |
| V2020 |
Frames, purchases |
1,229 |
1,212 |
$45K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
537 |
529 |
$24K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,219 |
1,202 |
$21K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,191 |
1,175 |
$20K |
| V2750 |
Anti-reflective coating, per lens |
217 |
214 |
$6K |
| V2102 |
Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens |
106 |
104 |
$5K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
47 |
47 |
$3K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
16 |
15 |
$1K |