| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,489 |
5,299 |
$421K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,520 |
2,494 |
$179K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,776 |
2,752 |
$167K |
| V2020 |
Frames, purchases |
6,048 |
5,862 |
$119K |
| 92015 |
Determination of refractive state |
6,462 |
6,284 |
$110K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,600 |
4,440 |
$103K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,868 |
3,743 |
$46K |
| 92341 |
|
512 |
499 |
$41K |
| 92002 |
|
465 |
435 |
$21K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
526 |
466 |
$18K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
454 |
437 |
$13K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
292 |
290 |
$5K |
| 92250 |
|
77 |
75 |
$3K |