| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
20,207 |
17,454 |
$1.93M |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
21,624 |
18,862 |
$1.90M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
23,468 |
20,355 |
$1.83M |
| V2020 |
Frames, purchases |
24,607 |
21,241 |
$717K |
| V2750 |
Anti-reflective coating, per lens |
24,511 |
21,139 |
$475K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
25,372 |
21,774 |
$348K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
9,713 |
7,837 |
$289K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
24,889 |
21,426 |
$286K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,706 |
1,412 |
$47K |
| V2744 |
Tint, photochromatic, per lens |
5,625 |
4,667 |
$46K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
974 |
783 |
$28K |
| 92015 |
Determination of refractive state |
43,145 |
37,116 |
$20K |
| 92083 |
|
512 |
448 |
$17K |
| V2781 |
Progressive lens, per lens |
291 |
264 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
389 |
339 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
152 |
140 |
$9K |
| 92250 |
|
122 |
105 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
81 |
70 |
$4K |
| 92133 |
|
104 |
103 |
$3K |