| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,790 |
4,671 |
$265K |
| V2020 |
Frames, purchases |
5,877 |
5,725 |
$184K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,893 |
4,112 |
$109K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,614 |
3,204 |
$66K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,283 |
773 |
$46K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
336 |
335 |
$34K |
| 92015 |
Determination of refractive state |
5,248 |
5,128 |
$24K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,274 |
1,207 |
$23K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
225 |
203 |
$5K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
109 |
104 |
$3K |