| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
17,440 |
14,125 |
$2.49M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
16,934 |
16,029 |
$1.71M |
| V2020 |
Frames, purchases |
27,724 |
22,204 |
$1.12M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,176 |
5,883 |
$740K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
25,558 |
20,581 |
$704K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
15,423 |
12,652 |
$647K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
27,063 |
21,766 |
$489K |
| V2750 |
Anti-reflective coating, per lens |
9,089 |
7,107 |
$256K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
5,179 |
4,017 |
$249K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
5,508 |
4,612 |
$220K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
424 |
403 |
$28K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
515 |
390 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
476 |
423 |
$19K |
| 92015 |
Determination of refractive state |
23,728 |
22,495 |
$17K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
187 |
180 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
658 |
638 |
$11K |
| V2118 |
Aniseikonic lens, single vision |
185 |
158 |
$11K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
217 |
169 |
$9K |
| V2108 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
40 |
26 |
$2K |
| V2744 |
Tint, photochromatic, per lens |
37 |
36 |
$609.88 |