| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,517 |
1,498 |
$139K |
| V2020 |
Frames, purchases |
3,341 |
3,262 |
$99K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,603 |
2,571 |
$78K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
919 |
900 |
$61K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,077 |
2,027 |
$45K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
694 |
690 |
$32K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,294 |
2,229 |
$18K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
692 |
676 |
$14K |
| V2760 |
Scratch resistant coating, per lens |
2,294 |
2,229 |
$4K |
| 92341 |
|
165 |
163 |
$4K |
| 92370 |
|
106 |
106 |
$3K |
| 92002 |
|
58 |
58 |
$3K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
44 |
44 |
$2K |