| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
20,112 |
19,814 |
$947K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
39,547 |
38,699 |
$644K |
| V2020 |
Frames, purchases |
38,002 |
37,148 |
$532K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,893 |
3,869 |
$95K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,779 |
1,755 |
$66K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,610 |
2,596 |
$31K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
57 |
54 |
$288.00 |
| V2750 |
Anti-reflective coating, per lens |
92 |
89 |
$0.00 |
| S0590 |
Integral lens service, miscellaneous services reported separately |
86 |
83 |
$0.00 |
| 92201 |
|
26 |
26 |
$0.00 |
| V2799 |
Vision item or service, miscellaneous |
79 |
78 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
62 |
61 |
$0.00 |
| V2781 |
Progressive lens, per lens |
123 |
122 |
$0.00 |