| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,888 |
4,730 |
$180K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,238 |
2,165 |
$82K |
| V2020 |
Frames, purchases |
6,153 |
5,944 |
$69K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,769 |
3,625 |
$55K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,081 |
2,041 |
$36K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
1,420 |
1,394 |
$25K |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
252 |
239 |
$16K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,205 |
1,185 |
$12K |
| 92015 |
Determination of refractive state |
3,996 |
3,828 |
$11K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
535 |
508 |
$11K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
693 |
682 |
$8K |
| 92341 |
|
313 |
307 |
$7K |
| 92310 |
|
19 |
17 |
$517.00 |
| 3072F |
|
413 |
413 |
$40.01 |