| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,950 |
3,819 |
$254K |
| V2020 |
Frames, purchases |
4,601 |
4,340 |
$147K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,485 |
1,426 |
$128K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,028 |
3,880 |
$109K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,002 |
1,643 |
$36K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,641 |
1,572 |
$32K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,403 |
2,727 |
$24K |
| V2783 |
Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens |
185 |
89 |
$7K |
| V2760 |
Scratch resistant coating, per lens |
4,565 |
3,511 |
$7K |
| V2755 |
U-v lens, per lens |
893 |
490 |
$6K |
| V2750 |
Anti-reflective coating, per lens |
1,109 |
803 |
$5K |
| 92370 |
|
148 |
140 |
$4K |
| 92015 |
Determination of refractive state |
4,841 |
4,677 |
$4K |