| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,425 |
1,339 |
$137K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,207 |
1,140 |
$134K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
715 |
546 |
$72K |
| 92250 |
|
1,287 |
1,210 |
$58K |
| V2020 |
Frames, purchases |
1,233 |
1,036 |
$46K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
828 |
680 |
$43K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,474 |
1,212 |
$33K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,506 |
1,236 |
$28K |
| V2750 |
Anti-reflective coating, per lens |
657 |
499 |
$19K |
| V2025 |
Deluxe frame |
168 |
132 |
$12K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
83 |
71 |
$5K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
55 |
49 |
$3K |