| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
12,045 |
11,675 |
$555K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,231 |
5,088 |
$493K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,244 |
5,133 |
$370K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
6,630 |
6,414 |
$279K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,319 |
3,232 |
$164K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
11,743 |
11,380 |
$111K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,186 |
2,151 |
$107K |
| 92015 |
Determination of refractive state |
13,594 |
13,258 |
$81K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,107 |
1,065 |
$48K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
39 |
32 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
11,641 |
11,304 |
$1K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
7,504 |
7,279 |
$115.30 |