| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
724 |
648 |
$269K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,110 |
4,905 |
$192K |
| V2020 |
Frames, purchases |
5,104 |
4,842 |
$147K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,219 |
1,913 |
$74K |
| 92136 |
|
1,287 |
1,110 |
$34K |
| V2102 |
Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens |
1,449 |
1,368 |
$32K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,437 |
1,384 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
390 |
354 |
$29K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
954 |
906 |
$24K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,101 |
2,952 |
$23K |
| 92083 |
|
518 |
470 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
310 |
290 |
$20K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
334 |
295 |
$10K |
| 92133 |
|
331 |
309 |
$9K |
| 92370 |
|
271 |
256 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
151 |
136 |
$7K |
| V2760 |
Scratch resistant coating, per lens |
3,051 |
2,905 |
$6K |
| 92134 |
|
246 |
213 |
$6K |
| 76519 |
|
220 |
177 |
$4K |
| 92015 |
Determination of refractive state |
47 |
41 |
$705.50 |