| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,525 |
3,303 |
$304K |
| V2020 |
Frames, purchases |
7,989 |
7,295 |
$218K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
7,737 |
7,010 |
$210K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,965 |
6,317 |
$149K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,716 |
4,144 |
$136K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,624 |
1,546 |
$126K |
| 92015 |
Determination of refractive state |
6,080 |
5,745 |
$67K |
| 92250 |
|
1,446 |
1,415 |
$35K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
179 |
164 |
$9K |
| 92341 |
|
281 |
272 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
114 |
98 |
$4K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
107 |
97 |
$3K |
| V2750 |
Anti-reflective coating, per lens |
70 |
68 |
$994.09 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
26 |
24 |
$827.72 |
| 99072 |
|
327 |
273 |
$574.11 |