| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,740 |
3,678 |
$164K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
2,160 |
2,128 |
$134K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,218 |
3,167 |
$132K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,661 |
5,579 |
$113K |
| 92015 |
Determination of refractive state |
7,234 |
7,119 |
$90K |
| V2020 |
Frames, purchases |
4,532 |
4,447 |
$80K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,406 |
2,365 |
$50K |
| V2430 |
Variable asphericity lens, bifocal, full field, glass or plastic, per lens |
472 |
461 |
$42K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,086 |
3,035 |
$40K |
| V2760 |
Scratch resistant coating, per lens |
3,884 |
3,815 |
$38K |
| V2755 |
U-v lens, per lens |
3,861 |
3,796 |
$29K |
| 92341 |
|
870 |
849 |
$21K |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
196 |
194 |
$9K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
524 |
514 |
$9K |
| 92342 |
|
24 |
24 |
$660.36 |
| 3072F |
|
692 |
682 |
$0.01 |