| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,993 |
1,867 |
$188K |
| V2025 |
Deluxe frame |
1,473 |
1,233 |
$131K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
849 |
690 |
$128K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
738 |
693 |
$82K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,605 |
1,314 |
$49K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,029 |
842 |
$45K |
| V2750 |
Anti-reflective coating, per lens |
1,556 |
1,279 |
$35K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,687 |
1,398 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
195 |
163 |
$10K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
240 |
197 |
$7K |
| V2755 |
U-v lens, per lens |
478 |
404 |
$7K |
| V2020 |
Frames, purchases |
146 |
138 |
$5K |
| 92015 |
Determination of refractive state |
2,846 |
2,652 |
$4K |
| V2744 |
Tint, photochromatic, per lens |
141 |
120 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
44 |
38 |
$1K |
| 92310 |
|
28 |
25 |
$1K |