| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,426 |
4,320 |
$198K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,400 |
4,278 |
$188K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,564 |
5,328 |
$115K |
| V2020 |
Frames, purchases |
6,860 |
6,576 |
$98K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,837 |
3,769 |
$92K |
| 92015 |
Determination of refractive state |
8,500 |
8,272 |
$67K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,846 |
2,782 |
$28K |
| 92341 |
|
998 |
954 |
$24K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
221 |
217 |
$8K |
| V2299 |
Specialty bifocal (by report) |
57 |
56 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
140 |
132 |
$622.00 |
| V2781 |
Progressive lens, per lens |
69 |
68 |
$0.00 |
| 3072F |
|
521 |
510 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
20 |
13 |
$0.00 |