| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
3,117 |
2,772 |
$117K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
979 |
844 |
$54K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,176 |
1,097 |
$50K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
531 |
495 |
$46K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,005 |
918 |
$43K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
594 |
523 |
$19K |
| 92015 |
Determination of refractive state |
3,458 |
3,096 |
$18K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
13 |
12 |
$783.61 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
113 |
104 |
$0.00 |