| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,132 |
969 |
$9K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
513 |
401 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
288 |
229 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
598 |
511 |
$3K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
209 |
181 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
159 |
158 |
$2K |
| 92341 |
|
87 |
86 |
$977.42 |
| 92015 |
Determination of refractive state |
1,008 |
795 |
$780.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
375 |
327 |
$200.00 |
| V2750 |
Anti-reflective coating, per lens |
30 |
30 |
$0.00 |
| V2025 |
Deluxe frame |
25 |
18 |
$0.00 |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
20 |
13 |
$0.00 |