| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
985 |
973 |
$47K |
| 92285 |
|
879 |
862 |
$37K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
671 |
663 |
$30K |
| V2020 |
Frames, purchases |
1,227 |
1,215 |
$24K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
727 |
667 |
$23K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
562 |
554 |
$21K |
| 92083 |
|
294 |
288 |
$15K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
593 |
586 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
946 |
936 |
$8K |
| 92133 |
|
253 |
250 |
$8K |
| V2219 |
Bifocal seg width over 28 mm |
198 |
198 |
$6K |
| 92132 |
|
357 |
353 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
441 |
437 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
237 |
234 |
$4K |
| 92341 |
|
219 |
218 |
$3K |
| 76514 |
|
374 |
371 |
$2K |
| 92202 |
|
62 |
55 |
$650.54 |
| 92286 |
|
13 |
13 |
$483.38 |