| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,885 |
1,800 |
$34K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,734 |
1,679 |
$25K |
| V2020 |
Frames, purchases |
1,971 |
1,909 |
$19K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
315 |
301 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,483 |
1,439 |
$6K |
| V2299 |
Specialty bifocal (by report) |
96 |
91 |
$2K |
| V2781 |
Progressive lens, per lens |
75 |
72 |
$1K |
| 92015 |
Determination of refractive state |
957 |
902 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
789 |
753 |
$0.00 |
| V2799 |
Vision item or service, miscellaneous |
16 |
12 |
$0.00 |