| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
35,257 |
30,541 |
$1.45M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12,879 |
11,292 |
$1.11M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
8,344 |
7,328 |
$865K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
19,326 |
13,884 |
$831K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
6,405 |
4,018 |
$673K |
| 92015 |
Determination of refractive state |
21,733 |
19,020 |
$304K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,249 |
3,152 |
$243K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
2,728 |
2,110 |
$118K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,031 |
2,459 |
$115K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
103 |
91 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
43 |
27 |
$2K |