| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
20,051 |
19,267 |
$1.15M |
| V2020 |
Frames, purchases |
18,847 |
17,605 |
$466K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
17,960 |
16,684 |
$361K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,899 |
4,600 |
$254K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,716 |
7,236 |
$196K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
10,111 |
9,598 |
$81K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
1,615 |
1,481 |
$41K |
| 92250 |
|
994 |
836 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
749 |
617 |
$22K |
| V2781 |
Progressive lens, per lens |
724 |
657 |
$16K |
| 92341 |
|
636 |
598 |
$16K |
| V2750 |
Anti-reflective coating, per lens |
2,372 |
2,073 |
$13K |
| 92353 |
|
503 |
482 |
$12K |
| 92370 |
|
668 |
619 |
$10K |
| V2500 |
Contact lens, pmma, spherical, per lens |
64 |
64 |
$6K |
| 92015 |
Determination of refractive state |
739 |
677 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48 |
43 |
$2K |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
26 |
25 |
$2K |
| 92310 |
|
16 |
16 |
$354.00 |
| S0500 |
Disposable contact lens, per lens |
85 |
84 |
$0.00 |
| 92342 |
|
84 |
84 |
$0.00 |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
27 |
27 |
$0.00 |