| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,258 |
3,939 |
$339K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,709 |
3,457 |
$235K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
8,922 |
8,180 |
$144K |
| V2020 |
Frames, purchases |
4,665 |
4,326 |
$80K |
| 92015 |
Determination of refractive state |
8,019 |
7,359 |
$64K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,986 |
1,859 |
$29K |
| V2750 |
Anti-reflective coating, per lens |
478 |
443 |
$22K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
603 |
534 |
$20K |
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
1,067 |
930 |
$5K |
| 92370 |
|
660 |
594 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,494 |
1,411 |
$26.78 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
226 |
213 |
$3.90 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
111 |
104 |
$1.96 |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
72 |
68 |
$1.30 |