| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
7,618 |
3,725 |
$761K |
| V2020 |
Frames, purchases |
8,889 |
8,344 |
$637K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,964 |
5,545 |
$593K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,626 |
2,419 |
$310K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,127 |
6,739 |
$219K |
| 92250 |
|
5,316 |
4,928 |
$184K |
| 92015 |
Determination of refractive state |
9,012 |
8,416 |
$151K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,115 |
1,095 |
$76K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,574 |
1,025 |
$70K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
522 |
481 |
$31K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
421 |
214 |
$15K |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
255 |
254 |
$15K |
| 92341 |
|
336 |
306 |
$12K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
90 |
59 |
$6K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
98 |
65 |
$5K |
| V2113 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens |
125 |
64 |
$5K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
169 |
52 |
$5K |
| 92133 |
|
14 |
12 |
$447.25 |