| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,292 |
2,257 |
$88K |
| V2020 |
Frames, purchases |
3,082 |
3,030 |
$47K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,641 |
1,607 |
$35K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
867 |
849 |
$34K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,191 |
1,169 |
$22K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,079 |
1,072 |
$20K |
| S0500 |
Disposable contact lens, per lens |
172 |
166 |
$10K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
54 |
53 |
$556.00 |
| 92015 |
Determination of refractive state |
13 |
13 |
$124.98 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
40 |
38 |
$21.77 |