| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
991 |
933 |
$94K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
637 |
606 |
$73K |
| V2781 |
Progressive lens, per lens |
740 |
653 |
$44K |
| V2020 |
Frames, purchases |
1,064 |
914 |
$39K |
| V2750 |
Anti-reflective coating, per lens |
1,049 |
892 |
$25K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
543 |
481 |
$22K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,048 |
900 |
$20K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,124 |
954 |
$18K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
178 |
135 |
$13K |
| V2744 |
Tint, photochromatic, per lens |
428 |
368 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
32 |
27 |
$1K |
| 92015 |
Determination of refractive state |
2,200 |
2,076 |
$487.85 |