| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,810 |
5,642 |
$361K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
11,228 |
10,508 |
$339K |
| V2020 |
Frames, purchases |
11,709 |
10,879 |
$279K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
10,180 |
9,638 |
$203K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,992 |
1,918 |
$118K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,389 |
5,089 |
$116K |
| 92015 |
Determination of refractive state |
8,955 |
8,672 |
$85K |
| 92341 |
|
2,226 |
2,081 |
$46K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,408 |
1,287 |
$32K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,742 |
1,615 |
$31K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
252 |
239 |
$4K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
189 |
171 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
41 |
39 |
$1K |
| 92250 |
|
15 |
14 |
$392.60 |