| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
3,318 |
3,314 |
$188K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,825 |
1,814 |
$114K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,508 |
1,497 |
$78K |
| 92002 |
|
1,020 |
1,020 |
$57K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
350 |
349 |
$33K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
290 |
266 |
$13K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
32 |
24 |
$13K |
| 92136 |
|
494 |
418 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
534 |
534 |
$8K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
53 |
51 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
183 |
152 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
14 |
14 |
$2K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
12 |
12 |
$191.90 |