| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,177 |
6,092 |
$26.00 |
| 92250 |
|
2,541 |
2,487 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
10,828 |
6,142 |
$0.00 |
| 92310 |
|
805 |
787 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,700 |
1,160 |
$0.00 |
| 92002 |
|
3,672 |
3,642 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
570 |
568 |
$0.00 |
| S0500 |
Disposable contact lens, per lens |
405 |
401 |
$0.00 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
428 |
288 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
309 |
156 |
$0.00 |
| V2799 |
Vision item or service, miscellaneous |
78 |
39 |
$0.00 |
| S0581 |
Nonstandard lens (list this code in addition to the basic code for the lens) |
128 |
64 |
$0.00 |
| V2020 |
Frames, purchases |
9,894 |
9,767 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
6,726 |
3,357 |
$0.00 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
830 |
463 |
$0.00 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
180 |
119 |
$0.00 |
| 92083 |
|
84 |
83 |
$0.00 |