| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
16,483 |
14,608 |
$2.44M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
9,054 |
8,446 |
$914K |
| V2025 |
Deluxe frame |
5,836 |
5,406 |
$651K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,589 |
6,840 |
$463K |
| V2020 |
Frames, purchases |
11,707 |
10,515 |
$446K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
17,844 |
15,902 |
$443K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,557 |
3,290 |
$416K |
| V2750 |
Anti-reflective coating, per lens |
15,386 |
13,748 |
$375K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
9,169 |
8,277 |
$366K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
18,374 |
16,299 |
$323K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,355 |
2,177 |
$312K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,341 |
2,160 |
$214K |
| V2744 |
Tint, photochromatic, per lens |
11,261 |
10,231 |
$153K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
3,300 |
2,931 |
$150K |
| 92060 |
|
1,641 |
1,516 |
$86K |
| 92201 |
|
3,059 |
961 |
$69K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
902 |
579 |
$46K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,287 |
1,201 |
$45K |
| 92226 |
|
1,060 |
406 |
$25K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
400 |
361 |
$19K |
| 92015 |
Determination of refractive state |
4,875 |
4,456 |
$15K |
| 99070 |
|
707 |
581 |
$14K |
| 99222 |
Initial hospital care, per day, moderate complexity |
67 |
66 |
$7K |
| 92285 |
|
345 |
325 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
19 |
13 |
$1K |
| 92225 |
|
47 |
30 |
$1K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
19 |
19 |
$914.45 |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
15 |
12 |
$810.69 |