| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
806 |
768 |
$60K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
357 |
349 |
$35K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
406 |
398 |
$34K |
| V2020 |
Frames, purchases |
1,003 |
964 |
$29K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,043 |
1,012 |
$25K |
| 92015 |
Determination of refractive state |
1,020 |
992 |
$13K |
| V2112 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens |
200 |
193 |
$11K |
| V2783 |
Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens |
69 |
68 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
133 |
133 |
$4K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
61 |
60 |
$2K |
| 92250 |
|
13 |
13 |
$287.45 |
| 92370 |
|
36 |
34 |
$284.93 |
| 2023F |
|
12 |
12 |
$0.00 |