| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,970 |
2,535 |
$178K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
540 |
418 |
$27K |
| 92015 |
Determination of refractive state |
3,772 |
3,162 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
977 |
862 |
$15K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
759 |
663 |
$4K |
| V2020 |
Frames, purchases |
2,096 |
1,618 |
$4K |
| V2755 |
U-v lens, per lens |
466 |
442 |
$3K |
| 3072F |
|
1,899 |
1,430 |
$3K |
| V2025 |
Deluxe frame |
432 |
402 |
$2K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
466 |
401 |
$1K |
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
298 |
283 |
$730.58 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
76 |
52 |
$567.96 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
196 |
137 |
$137.48 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
122 |
85 |
$0.00 |