| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,740 |
7,137 |
$503K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,428 |
4,945 |
$429K |
| V2020 |
Frames, purchases |
11,411 |
10,395 |
$191K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
10,808 |
10,032 |
$98K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,768 |
4,299 |
$86K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,108 |
3,663 |
$63K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,265 |
2,109 |
$24K |
| V2025 |
Deluxe frame |
441 |
296 |
$17K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
655 |
602 |
$13K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
300 |
215 |
$11K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
139 |
123 |
$7K |
| 92015 |
Determination of refractive state |
2,628 |
2,381 |
$6K |
| V2781 |
Progressive lens, per lens |
65 |
59 |
$5K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
167 |
157 |
$3K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
100 |
93 |
$2K |
| 92341 |
|
121 |
119 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
44 |
38 |
$757.46 |
| V2799 |
Vision item or service, miscellaneous |
15 |
12 |
$309.52 |
| V2760 |
Scratch resistant coating, per lens |
24 |
14 |
$24.84 |
| V2750 |
Anti-reflective coating, per lens |
163 |
138 |
$24.00 |
| V2755 |
U-v lens, per lens |
170 |
141 |
$18.00 |
| 3072F |
|
12 |
12 |
$0.00 |