| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
20,403 |
17,799 |
$604K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13,333 |
11,475 |
$598K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,950 |
7,006 |
$373K |
| 92015 |
Determination of refractive state |
19,994 |
17,655 |
$361K |
| 92250 |
|
9,644 |
8,683 |
$356K |
| V2025 |
Deluxe frame |
9,098 |
8,092 |
$317K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,933 |
2,396 |
$138K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
6,671 |
6,073 |
$82K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,770 |
5,286 |
$75K |
| V2750 |
Anti-reflective coating, per lens |
2,069 |
2,009 |
$60K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,277 |
1,103 |
$57K |
| V2020 |
Frames, purchases |
1,576 |
1,526 |
$16K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
499 |
457 |
$6K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
65 |
63 |
$6K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
224 |
205 |
$4K |
| 3072F |
|
1,444 |
1,444 |
$0.00 |