| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,551 |
8,073 |
$551K |
| V2020 |
Frames, purchases |
8,543 |
7,968 |
$340K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
6,335 |
5,918 |
$300K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,703 |
1,589 |
$142K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
1,732 |
1,600 |
$96K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,883 |
1,668 |
$76K |
| 92015 |
Determination of refractive state |
11,619 |
10,868 |
$60K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
6,035 |
5,684 |
$53K |
| V2760 |
Scratch resistant coating, per lens |
1,938 |
1,752 |
$20K |
| 92060 |
|
99 |
84 |
$3K |
| 92250 |
|
55 |
49 |
$2K |