| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,670 |
1,598 |
$110K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
507 |
490 |
$46K |
| V2020 |
Frames, purchases |
1,921 |
1,789 |
$42K |
| 92370 |
|
1,427 |
1,378 |
$39K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,316 |
1,221 |
$24K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,204 |
1,134 |
$17K |
| 92015 |
Determination of refractive state |
1,488 |
1,438 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
189 |
167 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
60 |
60 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
68 |
67 |
$1K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
15 |
13 |
$228.20 |
| V2702 |
Deluxe lens feature |
47 |
45 |
$0.00 |