| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
65,366 |
49,266 |
$2.21M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
17,020 |
13,015 |
$1.77M |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
20,525 |
16,214 |
$1.59M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
16,858 |
13,698 |
$1.53M |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
34,185 |
26,282 |
$1.26M |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
63,281 |
47,939 |
$1.03M |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
53,424 |
41,355 |
$837K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
9,966 |
7,630 |
$413K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
6,101 |
4,023 |
$257K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
7,727 |
5,856 |
$240K |
| V2750 |
Anti-reflective coating, per lens |
10,461 |
9,082 |
$209K |
| 92015 |
Determination of refractive state |
37,556 |
29,831 |
$183K |
| V2781 |
Progressive lens, per lens |
3,056 |
2,776 |
$139K |
| 92341 |
|
4,178 |
2,488 |
$74K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
1,494 |
1,187 |
$73K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
1,846 |
1,285 |
$72K |
| V2744 |
Tint, photochromatic, per lens |
6,434 |
5,429 |
$61K |
| 92342 |
|
2,313 |
1,857 |
$49K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
987 |
656 |
$30K |
| V2303 |
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens |
865 |
443 |
$28K |
| V2108 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
210 |
170 |
$9K |
| V2204 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
88 |
53 |
$3K |
| 92250 |
|
41 |
38 |
$2K |
| V2025 |
Deluxe frame |
13 |
12 |
$889.68 |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
136 |
114 |
$37.80 |