| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
25,219 |
21,637 |
$554K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,989 |
8,364 |
$472K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
23,093 |
19,658 |
$408K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
10,971 |
9,057 |
$224K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,121 |
3,636 |
$202K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
13,248 |
11,494 |
$94K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
2,184 |
1,884 |
$53K |
| 92341 |
|
726 |
626 |
$16K |
| 92370 |
|
1,050 |
961 |
$14K |
| V2781 |
Progressive lens, per lens |
695 |
490 |
$12K |
| 92353 |
|
551 |
414 |
$8K |
| V2500 |
Contact lens, pmma, spherical, per lens |
81 |
78 |
$8K |
| V2750 |
Anti-reflective coating, per lens |
3,960 |
2,535 |
$8K |
| 92015 |
Determination of refractive state |
1,398 |
1,166 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
227 |
125 |
$4K |
| 92250 |
|
827 |
642 |
$3K |
| 92310 |
|
144 |
106 |
$2K |
| V2521 |
Contact lens, hydrophilic, toric, or prism ballast, per lens |
31 |
12 |
$297.00 |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
46 |
13 |
$104.00 |
| S0500 |
Disposable contact lens, per lens |
97 |
95 |
$0.00 |
| S0592 |
Comprehensive contact lens evaluation |
32 |
27 |
$0.00 |
| 92342 |
|
106 |
81 |
$0.00 |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
51 |
49 |
$0.00 |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
41 |
41 |
$0.00 |