| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
1,374 |
1,239 |
$203K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
749 |
720 |
$87K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
709 |
680 |
$71K |
| V2020 |
Frames, purchases |
1,282 |
1,173 |
$51K |
| V2755 |
U-v lens, per lens |
1,234 |
1,110 |
$36K |
| V2750 |
Anti-reflective coating, per lens |
1,212 |
1,092 |
$30K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,373 |
1,242 |
$25K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,380 |
1,245 |
$24K |
| V2521 |
Contact lens, hydrophilic, toric, or prism ballast, per lens |
22 |
13 |
$4K |
| 92310 |
|
26 |
26 |
$4K |
| 92015 |
Determination of refractive state |
2,355 |
2,259 |
$2K |