| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,759 |
1,608 |
$161K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,728 |
2,572 |
$118K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,298 |
1,217 |
$94K |
| V2020 |
Frames, purchases |
3,010 |
2,849 |
$87K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,780 |
1,667 |
$64K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,820 |
2,663 |
$45K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
617 |
596 |
$23K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
506 |
481 |
$17K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
183 |
174 |
$8K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
33 |
29 |
$1K |