| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
7,951 |
7,798 |
$260K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,485 |
3,435 |
$206K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,695 |
6,594 |
$137K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
2,328 |
2,308 |
$117K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,774 |
1,760 |
$87K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
875 |
861 |
$69K |
| 92015 |
Determination of refractive state |
5,028 |
4,971 |
$55K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,524 |
4,024 |
$53K |
| 92341 |
|
1,800 |
1,773 |
$41K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
608 |
554 |
$28K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,090 |
2,238 |
$24K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,071 |
742 |
$11K |
| 92065 |
|
207 |
92 |
$6K |
| 92134 |
|
283 |
282 |
$6K |
| 92250 |
|
147 |
143 |
$3K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
106 |
95 |
$1K |
| 92342 |
|
28 |
27 |
$642.24 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
16 |
15 |
$219.82 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
243 |
241 |
$0.00 |