| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13,119 |
12,404 |
$1.26M |
| V2020 |
Frames, purchases |
21,149 |
19,642 |
$1.15M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,612 |
6,090 |
$726K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
11,552 |
10,711 |
$523K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
20,032 |
18,602 |
$483K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
12,297 |
10,810 |
$422K |
| 92015 |
Determination of refractive state |
19,692 |
18,505 |
$297K |
| V2750 |
Anti-reflective coating, per lens |
11,720 |
10,322 |
$275K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
4,383 |
4,082 |
$204K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,923 |
3,646 |
$175K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
872 |
823 |
$44K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
194 |
190 |
$12K |
| 92310 |
|
89 |
89 |
$5K |
| 92250 |
|
94 |
80 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
43 |
42 |
$65.00 |
| 92341 |
|
16 |
15 |
$0.00 |