| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
15,286 |
12,690 |
$2.18M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
11,536 |
9,830 |
$1.16M |
| V2020 |
Frames, purchases |
22,296 |
18,110 |
$880K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,936 |
5,759 |
$811K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
20,782 |
17,069 |
$533K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
12,172 |
9,926 |
$510K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
21,817 |
17,751 |
$384K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
5,059 |
4,286 |
$243K |
| V2750 |
Anti-reflective coating, per lens |
5,813 |
5,244 |
$172K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,706 |
3,032 |
$148K |
| 92015 |
Determination of refractive state |
17,936 |
15,206 |
$64K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
784 |
666 |
$41K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
979 |
923 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
600 |
442 |
$35K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,559 |
1,256 |
$27K |
| V2118 |
Aniseikonic lens, single vision |
359 |
293 |
$22K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
130 |
93 |
$6K |
| V2108 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
18 |
17 |
$1K |