| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,633 |
3,454 |
$157K |
| V2020 |
Frames, purchases |
4,759 |
4,416 |
$88K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,610 |
2,422 |
$45K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,962 |
1,772 |
$39K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
567 |
560 |
$26K |
| 92015 |
Determination of refractive state |
2,039 |
1,916 |
$25K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
933 |
872 |
$13K |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
114 |
113 |
$12K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
544 |
503 |
$12K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,004 |
1,858 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
485 |
399 |
$7K |
| 92310 |
|
126 |
112 |
$7K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
87 |
84 |
$3K |
| 3072F |
|
65 |
65 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
26 |
13 |
$0.00 |