| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
12,078 |
9,518 |
$1.66M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
9,423 |
8,450 |
$934K |
| V2020 |
Frames, purchases |
17,106 |
13,526 |
$669K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,532 |
4,851 |
$623K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
10,356 |
8,387 |
$429K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
16,758 |
13,265 |
$429K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
16,715 |
13,259 |
$292K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
4,235 |
3,295 |
$197K |
| V2750 |
Anti-reflective coating, per lens |
5,244 |
3,647 |
$150K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,410 |
1,190 |
$42K |
| 92015 |
Determination of refractive state |
15,543 |
13,719 |
$40K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
692 |
523 |
$35K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
792 |
733 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
332 |
305 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
121 |
93 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
115 |
90 |
$6K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
100 |
81 |
$5K |
| V2118 |
Aniseikonic lens, single vision |
49 |
41 |
$3K |