| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14,561 |
14,257 |
$966K |
| V2020 |
Frames, purchases |
17,320 |
16,970 |
$530K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
15,457 |
15,190 |
$467K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,728 |
4,593 |
$421K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
15,672 |
15,349 |
$337K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
5,206 |
2,140 |
$130K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
13,579 |
13,311 |
$129K |
| 92065 |
|
3,103 |
1,257 |
$100K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
814 |
747 |
$31K |
| 92370 |
|
924 |
917 |
$26K |
| V2760 |
Scratch resistant coating, per lens |
11,526 |
11,279 |
$26K |
| V2750 |
Anti-reflective coating, per lens |
929 |
922 |
$17K |
| 92066 |
|
853 |
360 |
$17K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
484 |
465 |
$16K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
249 |
249 |
$12K |
| V2755 |
U-v lens, per lens |
878 |
871 |
$10K |
| 92060 |
|
99 |
98 |
$4K |
| 92002 |
|
71 |
71 |
$4K |
| 92015 |
Determination of refractive state |
157 |
145 |
$2K |
| 92250 |
|
14 |
14 |
$686.14 |
| 92341 |
|
15 |
15 |
$472.00 |