| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,926 |
5,758 |
$385K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,552 |
3,445 |
$310K |
| V2020 |
Frames, purchases |
7,913 |
7,547 |
$245K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,638 |
5,481 |
$172K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,344 |
3,179 |
$57K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,017 |
968 |
$41K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,027 |
1,964 |
$35K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,198 |
3,994 |
$30K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
423 |
395 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
617 |
573 |
$16K |
| V2760 |
Scratch resistant coating, per lens |
3,394 |
3,306 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
154 |
119 |
$6K |
| 92341 |
|
186 |
181 |
$4K |
| V2750 |
Anti-reflective coating, per lens |
297 |
290 |
$3K |
| 92370 |
|
77 |
75 |
$2K |
| V2755 |
U-v lens, per lens |
174 |
169 |
$1K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
32 |
31 |
$486.00 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
28 |
26 |
$470.00 |
| 99199 |
Unlisted special service, procedure or report |
25 |
24 |
$0.00 |
| 2023F |
|
49 |
47 |
$0.00 |