| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
5,442 |
5,207 |
$229K |
| V2020 |
Frames, purchases |
4,864 |
4,742 |
$167K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,490 |
3,385 |
$107K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,969 |
2,894 |
$87K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,108 |
850 |
$40K |
| 92002 |
|
611 |
587 |
$29K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,642 |
2,563 |
$20K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
907 |
888 |
$18K |
| 92015 |
Determination of refractive state |
832 |
816 |
$15K |
| V2760 |
Scratch resistant coating, per lens |
2,802 |
2,719 |
$5K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
110 |
107 |
$5K |
| 92370 |
|
144 |
142 |
$4K |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
215 |
208 |
$2K |
| 92083 |
|
60 |
47 |
$2K |
| 92285 |
|
150 |
93 |
$2K |
| V2755 |
U-v lens, per lens |
130 |
124 |
$1K |
| 92250 |
|
41 |
32 |
$969.99 |
| 92020 |
|
55 |
44 |
$543.82 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
29 |
28 |
$510.00 |
| 99199 |
Unlisted special service, procedure or report |
22 |
21 |
$0.00 |
| 3072F |
|
147 |
136 |
$0.00 |