| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,661 |
2,535 |
$118K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,371 |
1,306 |
$100K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,906 |
1,776 |
$66K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
731 |
675 |
$21K |
| V2020 |
Frames, purchases |
2,751 |
2,591 |
$15K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
374 |
346 |
$9K |
| V2599 |
Contact lens, other type |
43 |
42 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,311 |
3,107 |
$5K |
| 92015 |
Determination of refractive state |
3,860 |
3,704 |
$3K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
28 |
25 |
$2K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
36 |
36 |
$1K |
| 92310 |
|
27 |
26 |
$35.00 |
| 92341 |
|
56 |
52 |
$29.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
624 |
582 |
$10.00 |
| V2025 |
Deluxe frame |
763 |
706 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
263 |
245 |
$0.00 |