| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
10,613 |
10,383 |
$310K |
| 92015 |
Determination of refractive state |
8,000 |
7,876 |
$301K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,731 |
3,687 |
$252K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
7,792 |
7,609 |
$223K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
10,277 |
10,039 |
$219K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,229 |
4,163 |
$216K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,506 |
5,419 |
$168K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,142 |
3,070 |
$85K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
793 |
778 |
$22K |
| V2799 |
Vision item or service, miscellaneous |
1,415 |
1,373 |
$21K |
| 92341 |
|
587 |
572 |
$14K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
239 |
229 |
$11K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
271 |
264 |
$10K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
37 |
37 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
38 |
38 |
$0.00 |