| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
3,088 |
3,012 |
$53K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,070 |
2,024 |
$46K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,312 |
1,298 |
$38K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
200 |
199 |
$7K |
| 92002 |
|
230 |
214 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
194 |
194 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
334 |
308 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
267 |
254 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
25 |
24 |
$665.00 |
| V2755 |
U-v lens, per lens |
34 |
17 |
$0.00 |