| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
418 |
351 |
$42K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
246 |
221 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
123 |
84 |
$15K |
| V2020 |
Frames, purchases |
584 |
504 |
$13K |
| V2755 |
U-v lens, per lens |
655 |
569 |
$11K |
| 92015 |
Determination of refractive state |
659 |
569 |
$7K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
23 |
16 |
$2K |
| 92250 |
|
19 |
15 |
$1K |