| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
5,010 |
2,441 |
$524K |
| V2020 |
Frames, purchases |
6,660 |
6,452 |
$461K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,739 |
3,360 |
$369K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,159 |
2,002 |
$262K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,222 |
5,078 |
$154K |
| 92250 |
|
4,224 |
3,675 |
$126K |
| 92015 |
Determination of refractive state |
6,300 |
5,765 |
$104K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,225 |
1,630 |
$93K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,035 |
981 |
$55K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
617 |
311 |
$29K |
| 92341 |
|
502 |
483 |
$15K |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
89 |
87 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
20 |
12 |
$744.00 |
| V2750 |
Anti-reflective coating, per lens |
771 |
731 |
$0.00 |