| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
9,026 |
8,289 |
$1.07M |
| V2020 |
Frames, purchases |
16,507 |
14,868 |
$789K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,217 |
6,669 |
$692K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
8,475 |
7,704 |
$455K |
| 92015 |
Determination of refractive state |
17,383 |
15,979 |
$266K |
| V2755 |
U-v lens, per lens |
3,609 |
3,264 |
$98K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,296 |
1,133 |
$96K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,590 |
1,461 |
$74K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
373 |
305 |
$61K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,115 |
780 |
$44K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
376 |
346 |
$15K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
109 |
98 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
20 |
13 |
$1K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
12 |
12 |
$644.83 |
| 92310 |
|
57 |
45 |
$538.83 |