| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,581 |
2,466 |
$37K |
| V2020 |
Frames, purchases |
2,403 |
2,304 |
$33K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,829 |
1,758 |
$18K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
119 |
119 |
$11K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
217 |
216 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,173 |
1,149 |
$3K |
| V2299 |
Specialty bifocal (by report) |
99 |
99 |
$2K |
| V2781 |
Progressive lens, per lens |
99 |
99 |
$2K |
| V2744 |
Tint, photochromatic, per lens |
187 |
186 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
400 |
399 |
$0.00 |