| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
595 |
492 |
$26K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
489 |
377 |
$23K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
296 |
285 |
$20K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
343 |
253 |
$17K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
120 |
117 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
665 |
526 |
$13K |
| V2750 |
Anti-reflective coating, per lens |
299 |
215 |
$7K |
| 92002 |
|
77 |
75 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
54 |
42 |
$5K |
| 92134 |
|
134 |
125 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
57 |
39 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13 |
12 |
$1K |
| V2755 |
U-v lens, per lens |
68 |
55 |
$1K |
| 92015 |
Determination of refractive state |
1,862 |
1,770 |
$481.13 |