| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
24,308 |
21,292 |
$1.34M |
| V2020 |
Frames, purchases |
39,614 |
33,670 |
$800K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
27,446 |
23,664 |
$637K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
38,135 |
32,448 |
$613K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
27,257 |
23,880 |
$354K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,776 |
2,887 |
$162K |
| V2781 |
Progressive lens, per lens |
2,125 |
1,683 |
$62K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
2,428 |
2,110 |
$51K |
| 92341 |
|
1,477 |
1,300 |
$32K |
| 92015 |
Determination of refractive state |
3,095 |
2,877 |
$29K |
| 92250 |
|
5,198 |
4,566 |
$20K |
| 92370 |
|
776 |
735 |
$13K |
| 92353 |
|
1,076 |
967 |
$12K |
| V2750 |
Anti-reflective coating, per lens |
2,708 |
2,153 |
$8K |
| 92342 |
|
1,241 |
702 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
114 |
97 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
107 |
85 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
107 |
81 |
$4K |
| 92310 |
|
187 |
141 |
$4K |
| V2744 |
Tint, photochromatic, per lens |
344 |
283 |
$2K |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
14 |
14 |
$1K |
| V2799 |
Vision item or service, miscellaneous |
60 |
52 |
$140.00 |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
13 |
13 |
$0.00 |