| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,869 |
2,582 |
$145K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,899 |
3,380 |
$128K |
| 92015 |
Determination of refractive state |
4,197 |
3,759 |
$118K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,812 |
3,736 |
$88K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
998 |
927 |
$66K |
| V2020 |
Frames, purchases |
4,417 |
3,527 |
$34K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,394 |
2,107 |
$22K |
| 92250 |
|
408 |
370 |
$13K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,402 |
1,231 |
$10K |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
135 |
129 |
$408.20 |
| V2781 |
Progressive lens, per lens |
53 |
50 |
$250.00 |
| 2026F |
|
15 |
15 |
$0.00 |