| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,990 |
1,923 |
$235K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
593 |
405 |
$112K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,135 |
1,078 |
$111K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
932 |
725 |
$46K |
| V2750 |
Anti-reflective coating, per lens |
905 |
694 |
$26K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
473 |
359 |
$25K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
948 |
734 |
$21K |
| V2020 |
Frames, purchases |
465 |
414 |
$19K |
| V2755 |
U-v lens, per lens |
603 |
409 |
$19K |
| V2025 |
Deluxe frame |
180 |
127 |
$14K |
| 92250 |
|
135 |
133 |
$6K |
| 92015 |
Determination of refractive state |
3,080 |
2,957 |
$1K |