| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
43,859 |
41,361 |
$3.91M |
| 92015 |
Determination of refractive state |
72,379 |
68,624 |
$3.10M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
28,582 |
27,316 |
$1.89M |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
29,003 |
26,799 |
$794K |
| V2020 |
Frames, purchases |
18,746 |
17,481 |
$258K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
12,260 |
11,403 |
$195K |
| D1206 |
Topical application of fluoride varnish |
6,537 |
6,437 |
$127K |
| D0190 |
|
6,536 |
6,436 |
$74K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,093 |
3,787 |
$62K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,310 |
1,207 |
$17K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
280 |
60 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
285 |
281 |
$3K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
24 |
24 |
$395.90 |
| V2756 |
Eye glass case |
7,359 |
6,427 |
$0.00 |