| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
957 |
838 |
$54K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,169 |
2,697 |
$47K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,841 |
2,163 |
$35K |
| V2020 |
Frames, purchases |
2,995 |
2,551 |
$29K |
| V2750 |
Anti-reflective coating, per lens |
428 |
316 |
$29K |
| 92015 |
Determination of refractive state |
2,541 |
2,174 |
$19K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
245 |
201 |
$17K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
381 |
311 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
177 |
165 |
$3K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
28 |
27 |
$698.00 |
| V2102 |
Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens |
26 |
16 |
$0.16 |