| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,413 |
2,185 |
$216K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,695 |
1,500 |
$171K |
| V2020 |
Frames, purchases |
3,499 |
2,982 |
$144K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
1,663 |
1,466 |
$126K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,525 |
3,001 |
$118K |
| V2781 |
Progressive lens, per lens |
1,798 |
1,480 |
$96K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,219 |
1,869 |
$92K |
| V2750 |
Anti-reflective coating, per lens |
3,504 |
2,985 |
$87K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,630 |
3,070 |
$59K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
838 |
709 |
$38K |
| V2744 |
Tint, photochromatic, per lens |
1,587 |
1,409 |
$27K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
441 |
396 |
$17K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
128 |
91 |
$5K |
| 92015 |
Determination of refractive state |
4,165 |
3,701 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$534.96 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$361.02 |