| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
27,856 |
25,260 |
$1.49M |
| V2020 |
Frames, purchases |
41,206 |
37,064 |
$931K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
38,260 |
34,343 |
$705K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
18,752 |
17,015 |
$435K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,765 |
5,939 |
$321K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
23,052 |
20,939 |
$173K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
3,355 |
3,044 |
$86K |
| V2781 |
Progressive lens, per lens |
1,543 |
1,184 |
$34K |
| 92370 |
|
1,814 |
1,721 |
$31K |
| V2750 |
Anti-reflective coating, per lens |
7,845 |
6,615 |
$30K |
| 92341 |
|
1,146 |
1,038 |
$25K |
| 92015 |
Determination of refractive state |
2,919 |
2,694 |
$19K |
| 92353 |
|
999 |
950 |
$18K |
| V2500 |
Contact lens, pmma, spherical, per lens |
97 |
94 |
$9K |
| V2599 |
Contact lens, other type |
134 |
133 |
$8K |
| 92250 |
|
1,497 |
1,252 |
$8K |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
69 |
66 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
138 |
102 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
44 |
39 |
$2K |
| V2521 |
Contact lens, hydrophilic, toric, or prism ballast, per lens |
15 |
14 |
$2K |
| 92310 |
|
169 |
118 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
12 |
$460.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
12 |
$370.80 |
| V2760 |
Scratch resistant coating, per lens |
116 |
114 |
$307.50 |
| 92342 |
|
284 |
182 |
$163.02 |
| V2799 |
Vision item or service, miscellaneous |
146 |
141 |
$45.00 |
| V2744 |
Tint, photochromatic, per lens |
44 |
29 |
$0.00 |
| S0500 |
Disposable contact lens, per lens |
128 |
120 |
$0.00 |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
115 |
114 |
$0.00 |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
227 |
224 |
$0.00 |