| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
18,266 |
18,114 |
$1.74M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
8,767 |
8,702 |
$1.03M |
| V2020 |
Frames, purchases |
20,419 |
20,150 |
$721K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
16,425 |
16,308 |
$462K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
18,738 |
18,481 |
$424K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
11,938 |
11,815 |
$300K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
5,162 |
5,101 |
$133K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,516 |
3,468 |
$100K |
| 92015 |
Determination of refractive state |
22,207 |
21,991 |
$95K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,077 |
1,074 |
$78K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
1,200 |
1,189 |
$30K |
| V2025 |
Deluxe frame |
571 |
570 |
$13K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
51 |
51 |
$926.31 |
| V2108 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
12 |
12 |
$208.77 |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
974 |
973 |
$0.00 |