| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,229 |
3,902 |
$238K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,123 |
2,893 |
$233K |
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
2,205 |
1,934 |
$146K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
8,883 |
7,982 |
$142K |
| V2750 |
Anti-reflective coating, per lens |
1,934 |
1,794 |
$131K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
1,642 |
1,286 |
$109K |
| V2020 |
Frames, purchases |
8,189 |
7,398 |
$103K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
8,142 |
7,346 |
$72K |
| 92015 |
Determination of refractive state |
7,607 |
6,989 |
$61K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
9,990 |
5,548 |
$47K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,047 |
2,590 |
$16K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
192 |
182 |
$6K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
304 |
188 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
56 |
52 |
$1K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
48 |
28 |
$369.80 |
| V2799 |
Vision item or service, miscellaneous |
34 |
31 |
$0.00 |