| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,318 |
2,241 |
$109K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,214 |
2,160 |
$63K |
| 92015 |
Determination of refractive state |
3,978 |
3,879 |
$61K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,144 |
1,127 |
$52K |
| V2020 |
Frames, purchases |
1,589 |
1,538 |
$33K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
505 |
444 |
$26K |
| 92341 |
|
764 |
737 |
$22K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
852 |
809 |
$13K |
| V2025 |
Deluxe frame |
205 |
191 |
$12K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
712 |
703 |
$5K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
264 |
250 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
281 |
281 |
$896.92 |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
13 |
13 |
$823.99 |
| 92310 |
|
12 |
12 |
$420.00 |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
14 |
14 |
$406.00 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
76 |
76 |
$0.00 |