| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
24,646 |
20,729 |
$3.39M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
22,362 |
20,289 |
$2.21M |
| V2020 |
Frames, purchases |
36,755 |
30,683 |
$1.47M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
10,583 |
9,438 |
$1.20M |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
35,983 |
30,084 |
$977K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
21,997 |
18,487 |
$957K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
35,865 |
30,007 |
$634K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
8,887 |
7,458 |
$432K |
| V2750 |
Anti-reflective coating, per lens |
11,023 |
8,212 |
$312K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,980 |
4,271 |
$198K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
1,577 |
1,338 |
$85K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,695 |
1,534 |
$64K |
| 92015 |
Determination of refractive state |
33,459 |
30,136 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
362 |
301 |
$21K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
346 |
316 |
$16K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
855 |
785 |
$15K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
56 |
51 |
$4K |
| 92002 |
|
46 |
44 |
$3K |