| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,009 |
4,838 |
$310K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,422 |
2,324 |
$198K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
11,343 |
10,872 |
$191K |
| V2750 |
Anti-reflective coating, per lens |
1,268 |
1,195 |
$117K |
| 92250 |
|
1,953 |
1,848 |
$85K |
| V2020 |
Frames, purchases |
6,259 |
5,937 |
$79K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
11,757 |
5,590 |
$75K |
| 92015 |
Determination of refractive state |
7,843 |
7,542 |
$66K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,513 |
3,350 |
$57K |
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
464 |
425 |
$43K |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
56 |
55 |
$8K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
49 |
25 |
$705.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
14 |
12 |
$483.20 |