| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
2,819 |
2,448 |
$97K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,062 |
3,641 |
$74K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,261 |
2,110 |
$63K |
| 92015 |
Determination of refractive state |
3,143 |
2,924 |
$33K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
959 |
805 |
$32K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,193 |
998 |
$20K |
| 92341 |
|
339 |
320 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
89 |
74 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
119 |
98 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
15 |
12 |
$399.00 |
| 92250 |
|
16 |
12 |
$96.00 |