| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,750 |
4,633 |
$312K |
| V2020 |
Frames, purchases |
5,825 |
5,711 |
$172K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,168 |
5,063 |
$166K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,632 |
1,585 |
$141K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
5,194 |
5,095 |
$107K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,728 |
3,652 |
$36K |
| V2760 |
Scratch resistant coating, per lens |
3,497 |
3,431 |
$7K |
| 92370 |
|
76 |
76 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
51 |
51 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
59 |
55 |
$1K |
| 99199 |
Unlisted special service, procedure or report |
41 |
32 |
$0.00 |