| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
9,344 |
8,726 |
$252K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,230 |
4,894 |
$233K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,505 |
4,287 |
$194K |
| V2020 |
Frames, purchases |
4,990 |
4,812 |
$175K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,785 |
2,526 |
$142K |
| 92015 |
Determination of refractive state |
8,150 |
7,736 |
$122K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,037 |
916 |
$46K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,842 |
3,704 |
$45K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
411 |
389 |
$41K |
| V2025 |
Deluxe frame |
1,573 |
1,355 |
$34K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,204 |
2,123 |
$28K |
| 92341 |
|
548 |
543 |
$16K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
358 |
342 |
$7K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
478 |
461 |
$5K |