| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
11,062 |
8,897 |
$1.65M |
| V2025 |
Deluxe frame |
7,944 |
5,920 |
$720K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,207 |
5,792 |
$620K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,346 |
4,027 |
$503K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
8,742 |
7,105 |
$377K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
13,600 |
10,980 |
$365K |
| V2750 |
Anti-reflective coating, per lens |
13,136 |
10,539 |
$333K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
13,672 |
11,069 |
$254K |
| V2020 |
Frames, purchases |
5,415 |
4,947 |
$193K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
2,837 |
2,278 |
$136K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,428 |
1,236 |
$54K |
| 92310 |
|
192 |
184 |
$25K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,300 |
1,271 |
$23K |
| 92015 |
Determination of refractive state |
11,291 |
10,498 |
$20K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
287 |
250 |
$15K |
| V2521 |
Contact lens, hydrophilic, toric, or prism ballast, per lens |
43 |
24 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
135 |
126 |
$5K |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
23 |
14 |
$2K |
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
82 |
80 |
$2K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
32 |
26 |
$1K |