| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
23,373 |
22,935 |
$1.48M |
| V2020 |
Frames, purchases |
3,480 |
2,959 |
$378K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
11,521 |
11,459 |
$323K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,078 |
4,020 |
$271K |
| 92341 |
|
7,540 |
7,517 |
$262K |
| V2781 |
Progressive lens, per lens |
1,164 |
1,151 |
$226K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,399 |
4,051 |
$218K |
| 92015 |
Determination of refractive state |
16,411 |
16,172 |
$205K |
| V2799 |
Vision item or service, miscellaneous |
1,440 |
1,417 |
$144K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
1,026 |
800 |
$127K |
| 92250 |
|
3,221 |
2,927 |
$103K |
| 92083 |
|
2,523 |
2,374 |
$100K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,823 |
1,739 |
$81K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
910 |
894 |
$79K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,246 |
881 |
$75K |
| 92133 |
|
2,392 |
2,290 |
$61K |
| 92136 |
|
1,687 |
1,465 |
$58K |
| 92285 |
|
1,382 |
1,281 |
$32K |
| 92134 |
|
880 |
841 |
$18K |
| 66982 |
|
61 |
56 |
$16K |
| V2025 |
Deluxe frame |
134 |
134 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
154 |
143 |
$2K |
| 66821 |
|
14 |
12 |
$1K |
| 92370 |
|
110 |
108 |
$1K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
13 |
13 |
$853.75 |
| 92020 |
|
13 |
13 |
$249.62 |
| V2744 |
Tint, photochromatic, per lens |
12 |
12 |
$32.40 |
| 99024 |
|
83 |
82 |
$0.00 |