| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
33,299 |
30,600 |
$4.72M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
34,922 |
32,736 |
$3.53M |
| V2020 |
Frames, purchases |
51,162 |
46,424 |
$2.04M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
11,006 |
10,331 |
$1.33M |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
46,205 |
42,486 |
$1.18M |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
25,960 |
24,110 |
$1.12M |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
50,484 |
45,846 |
$900K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
11,469 |
10,542 |
$545K |
| V2750 |
Anti-reflective coating, per lens |
12,596 |
11,809 |
$365K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
7,709 |
7,204 |
$316K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
2,063 |
1,887 |
$106K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,368 |
1,272 |
$90K |
| 92015 |
Determination of refractive state |
46,703 |
43,777 |
$70K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,543 |
1,451 |
$60K |
| V2118 |
Aniseikonic lens, single vision |
677 |
597 |
$41K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
626 |
552 |
$28K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,295 |
1,244 |
$23K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
184 |
179 |
$13K |
| V2108 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
106 |
97 |
$6K |