| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
10,730 |
8,517 |
$1.67M |
| V2025 |
Deluxe frame |
8,653 |
6,497 |
$782K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,734 |
3,524 |
$454K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,293 |
4,100 |
$443K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
12,515 |
9,919 |
$382K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
7,881 |
6,273 |
$354K |
| V2750 |
Anti-reflective coating, per lens |
12,028 |
9,599 |
$330K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
12,632 |
10,034 |
$259K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
2,460 |
1,890 |
$126K |
| V2020 |
Frames, purchases |
3,076 |
2,889 |
$115K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
818 |
650 |
$37K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,309 |
1,272 |
$23K |
| 92015 |
Determination of refractive state |
8,776 |
8,326 |
$14K |
| V2521 |
Contact lens, hydrophilic, toric, or prism ballast, per lens |
29 |
14 |
$10K |
| 92310 |
|
30 |
24 |
$3K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
28 |
26 |
$2K |