| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
8,211 |
4,696 |
$434K |
| 92015 |
Determination of refractive state |
9,054 |
8,726 |
$305K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,355 |
4,344 |
$210K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,765 |
2,657 |
$173K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,244 |
1,178 |
$109K |
| V2020 |
Frames, purchases |
7,867 |
4,535 |
$103K |
| 92060 |
|
3,102 |
2,975 |
$88K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,313 |
2,245 |
$84K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
919 |
900 |
$83K |
| 92250 |
|
1,723 |
1,708 |
$82K |
| 92225 |
|
1,239 |
1,151 |
$74K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,601 |
2,632 |
$59K |
| 92285 |
|
1,360 |
1,240 |
$45K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
416 |
407 |
$25K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,877 |
1,110 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
378 |
365 |
$22K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,767 |
969 |
$21K |
| 99205 |
Prolong outpt/office vis |
148 |
136 |
$20K |
| 99215 |
Prolong outpt/office vis |
216 |
203 |
$19K |
| 92201 |
|
465 |
455 |
$9K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
487 |
261 |
$6K |
| 92283 |
|
268 |
261 |
$4K |
| 92065 |
|
102 |
90 |
$3K |
| 99401 |
|
35 |
35 |
$1K |
| 92133 |
|
14 |
13 |
$347.14 |
| V2108 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
24 |
16 |
$232.80 |