| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
14,373 |
11,431 |
$2.07M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
9,424 |
8,830 |
$940K |
| V2020 |
Frames, purchases |
20,567 |
16,033 |
$808K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,355 |
4,165 |
$517K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
19,688 |
15,431 |
$514K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
11,242 |
8,939 |
$471K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
19,933 |
15,646 |
$353K |
| V2750 |
Anti-reflective coating, per lens |
6,448 |
4,670 |
$181K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
3,661 |
2,782 |
$176K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,989 |
3,237 |
$161K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
618 |
554 |
$37K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
261 |
169 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
643 |
613 |
$11K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
167 |
117 |
$9K |
| 92015 |
Determination of refractive state |
14,271 |
13,440 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
191 |
183 |
$8K |
| V2744 |
Tint, photochromatic, per lens |
315 |
230 |
$5K |
| V2118 |
Aniseikonic lens, single vision |
29 |
27 |
$2K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
21 |
18 |
$802.89 |
| V2715 |
Prism, per lens |
30 |
25 |
$534.99 |