| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
13,932 |
13,363 |
$306K |
| V2025 |
Deluxe frame |
4,755 |
4,444 |
$279K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
10,693 |
9,973 |
$187K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
9,515 |
8,997 |
$119K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
5,312 |
5,259 |
$118K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,812 |
1,651 |
$81K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,265 |
1,217 |
$15K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
214 |
214 |
$15K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
111 |
111 |
$8K |
| V2799 |
Vision item or service, miscellaneous |
233 |
201 |
$3K |
| 92341 |
|
31 |
31 |
$383.16 |