| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
3,226 |
2,895 |
$86K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
920 |
835 |
$48K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,871 |
2,558 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
251 |
231 |
$11K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
233 |
207 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,838 |
2,525 |
$5K |
| 92015 |
Determination of refractive state |
1,515 |
1,386 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
224 |
193 |
$89.76 |
| G8785 |
Blood pressure reading not documented, reason not given |
28 |
27 |
$0.00 |
| 92341 |
|
108 |
102 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
55 |
51 |
$0.00 |
| V2799 |
Vision item or service, miscellaneous |
14 |
14 |
$0.00 |
| 92342 |
|
12 |
12 |
$0.00 |