| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,834 |
6,338 |
$199K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,477 |
3,235 |
$147K |
| V2025 |
Deluxe frame |
3,278 |
3,066 |
$134K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,806 |
2,572 |
$124K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
6,523 |
6,054 |
$117K |
| 92015 |
Determination of refractive state |
6,478 |
5,989 |
$115K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
5,979 |
5,510 |
$54K |
| V2020 |
Frames, purchases |
5,587 |
5,194 |
$52K |
| 92341 |
|
1,574 |
1,459 |
$46K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
1,561 |
1,441 |
$42K |
| 92250 |
|
141 |
128 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
260 |
247 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
14 |
13 |
$608.30 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
24 |
13 |
$288.00 |