| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,319 |
7,100 |
$616K |
| V2020 |
Frames, purchases |
23,673 |
21,677 |
$603K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
21,097 |
19,527 |
$467K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
16,956 |
16,149 |
$448K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,044 |
4,862 |
$365K |
| 92341 |
|
11,371 |
10,612 |
$320K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
10,268 |
9,418 |
$258K |
| V2219 |
Bifocal seg width over 28 mm |
6,789 |
6,196 |
$216K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,237 |
4,774 |
$198K |
| 92015 |
Determination of refractive state |
13,617 |
13,202 |
$150K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
5,789 |
4,858 |
$134K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,766 |
1,631 |
$56K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
697 |
670 |
$25K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
783 |
747 |
$24K |
| V2783 |
Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens |
147 |
144 |
$11K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
136 |
130 |
$6K |
| V2204 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
13 |
12 |
$38.31 |
| 92370 |
|
27 |
26 |
$21.99 |