| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
10,941 |
10,400 |
$463K |
| V2020 |
Frames, purchases |
25,141 |
22,608 |
$406K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
10,162 |
9,711 |
$398K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
16,800 |
15,955 |
$390K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
19,689 |
18,998 |
$378K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
9,680 |
9,290 |
$197K |
| 92015 |
Determination of refractive state |
9,873 |
9,460 |
$178K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
2,864 |
2,841 |
$113K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
2,635 |
2,526 |
$66K |
| 92341 |
|
1,198 |
1,158 |
$31K |
| V2783 |
Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens |
302 |
268 |
$30K |
| S0500 |
Disposable contact lens, per lens |
474 |
448 |
$24K |
| V2750 |
Anti-reflective coating, per lens |
610 |
579 |
$5.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
506 |
503 |
$0.00 |