| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
14,668 |
14,486 |
$1.14M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,680 |
8,589 |
$521K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,645 |
6,606 |
$486K |
| V2020 |
Frames, purchases |
17,105 |
16,950 |
$342K |
| 92015 |
Determination of refractive state |
17,039 |
16,800 |
$291K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
12,487 |
12,377 |
$285K |
| 92341 |
|
2,328 |
2,310 |
$183K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
10,177 |
10,084 |
$125K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
2,052 |
2,035 |
$61K |
| 92250 |
|
1,197 |
1,119 |
$42K |
| 92002 |
|
628 |
611 |
$29K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
817 |
786 |
$29K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
514 |
513 |
$10K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
28 |
28 |
$755.60 |