| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,311 |
6,747 |
$214K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,518 |
4,297 |
$194K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,020 |
3,781 |
$182K |
| 92015 |
Determination of refractive state |
8,686 |
8,203 |
$155K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
6,856 |
6,325 |
$108K |
| V2025 |
Deluxe frame |
3,392 |
3,190 |
$83K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
6,471 |
5,938 |
$51K |
| V2020 |
Frames, purchases |
5,781 |
5,294 |
$49K |
| 92341 |
|
1,585 |
1,437 |
$46K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
1,474 |
1,341 |
$34K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
349 |
334 |
$4K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
42 |
32 |
$608.00 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
33 |
28 |
$318.67 |