| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
9,114 |
8,925 |
$391K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
7,540 |
6,870 |
$225K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,623 |
7,389 |
$205K |
| V2025 |
Deluxe frame |
6,299 |
5,873 |
$178K |
| 92015 |
Determination of refractive state |
10,761 |
10,490 |
$173K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,657 |
3,238 |
$161K |
| V2020 |
Frames, purchases |
4,631 |
4,312 |
$148K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
1,885 |
1,697 |
$113K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,055 |
1,771 |
$92K |
| 92341 |
|
1,415 |
1,371 |
$40K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
5,156 |
4,988 |
$34K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
588 |
581 |
$26K |
| V2523 |
Contact lens, hydrophilic, extended wear, per lens |
137 |
124 |
$12K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
983 |
982 |
$10K |
| 92310 |
|
136 |
132 |
$7K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
57 |
57 |
$3K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
39 |
39 |
$1K |
| 3072F |
|
1,239 |
1,236 |
$0.00 |