| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,320 |
2,306 |
$94K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,046 |
2,030 |
$84K |
| V2020 |
Frames, purchases |
4,658 |
4,604 |
$68K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,292 |
3,264 |
$57K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,684 |
1,672 |
$37K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
451 |
448 |
$28K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
868 |
860 |
$25K |
| 92015 |
Determination of refractive state |
2,276 |
2,260 |
$21K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
661 |
651 |
$14K |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
275 |
272 |
$9K |
| V2760 |
Scratch resistant coating, per lens |
605 |
600 |
$6K |
| V2755 |
U-v lens, per lens |
609 |
602 |
$5K |
| V2430 |
Variable asphericity lens, bifocal, full field, glass or plastic, per lens |
42 |
40 |
$4K |
| 92342 |
|
113 |
106 |
$3K |