| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,903 |
3,879 |
$126K |
| 92250 |
|
2,083 |
2,067 |
$102K |
| V2020 |
Frames, purchases |
3,924 |
3,910 |
$68K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,150 |
3,139 |
$67K |
| 92285 |
|
1,731 |
1,679 |
$53K |
| 92082 |
|
883 |
880 |
$42K |
| 76512 |
|
667 |
481 |
$32K |
| 92025 |
|
1,543 |
1,532 |
$28K |
| 92286 |
|
531 |
531 |
$22K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,329 |
1,327 |
$16K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
379 |
376 |
$13K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
51 |
51 |
$2K |