| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,146 |
8,052 |
$0.00 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
353 |
244 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
3,930 |
1,977 |
$0.00 |
| V2020 |
Frames, purchases |
11,669 |
11,529 |
$0.00 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
842 |
477 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
13,007 |
7,387 |
$0.00 |
| 92002 |
|
3,527 |
3,509 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
569 |
290 |
$0.00 |
| 92250 |
|
1,060 |
1,036 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,768 |
1,230 |
$0.00 |
| S0500 |
Disposable contact lens, per lens |
1,145 |
1,127 |
$0.00 |
| 92310 |
|
1,103 |
1,074 |
$0.00 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
208 |
146 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
378 |
377 |
$0.00 |
| S0581 |
Nonstandard lens (list this code in addition to the basic code for the lens) |
32 |
14 |
$0.00 |
| V2799 |
Vision item or service, miscellaneous |
28 |
13 |
$0.00 |