| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
29,939 |
29,643 |
$2.90M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
14,854 |
14,749 |
$1.65M |
| V2020 |
Frames, purchases |
42,289 |
41,691 |
$1.55M |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
40,699 |
40,143 |
$956K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
31,913 |
31,413 |
$798K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
24,074 |
23,758 |
$630K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
11,025 |
10,891 |
$359K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
10,206 |
10,032 |
$269K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,708 |
2,706 |
$198K |
| 92015 |
Determination of refractive state |
37,792 |
37,400 |
$176K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
2,407 |
2,375 |
$68K |
| V2025 |
Deluxe frame |
2,169 |
2,166 |
$51K |
| V2108 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
261 |
258 |
$6K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
320 |
315 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
52 |
52 |
$935.40 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
17 |
14 |
$575.01 |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
2,496 |
2,484 |
$0.00 |