| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13,696 |
12,890 |
$769K |
| V2020 |
Frames, purchases |
27,529 |
25,176 |
$622K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
26,960 |
24,529 |
$491K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
14,700 |
13,324 |
$334K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,603 |
4,145 |
$222K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
15,138 |
14,065 |
$125K |
| 92250 |
|
2,329 |
1,853 |
$41K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
1,644 |
1,477 |
$39K |
| V2750 |
Anti-reflective coating, per lens |
4,881 |
4,395 |
$27K |
| 92370 |
|
1,300 |
1,222 |
$21K |
| V2781 |
Progressive lens, per lens |
653 |
616 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
491 |
404 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
435 |
357 |
$12K |
| 92341 |
|
516 |
471 |
$11K |
| 92015 |
Determination of refractive state |
1,537 |
1,462 |
$11K |
| V2599 |
Contact lens, other type |
159 |
158 |
$10K |
| 92353 |
|
502 |
486 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
130 |
100 |
$7K |
| 92310 |
|
231 |
215 |
$5K |
| V2500 |
Contact lens, pmma, spherical, per lens |
33 |
32 |
$3K |
| V2521 |
Contact lens, hydrophilic, toric, or prism ballast, per lens |
28 |
26 |
$2K |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
29 |
28 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42 |
37 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
15 |
15 |
$703.80 |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
44 |
44 |
$0.00 |
| S0500 |
Disposable contact lens, per lens |
44 |
43 |
$0.00 |
| 92342 |
|
99 |
91 |
$0.00 |
| S0592 |
Comprehensive contact lens evaluation |
34 |
29 |
$0.00 |