| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
21,730 |
18,803 |
$1.16M |
| V2020 |
Frames, purchases |
39,279 |
33,346 |
$808K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
37,004 |
31,306 |
$608K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
26,006 |
22,234 |
$593K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
26,338 |
23,228 |
$328K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,996 |
3,265 |
$177K |
| V2781 |
Progressive lens, per lens |
1,203 |
1,001 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
647 |
545 |
$31K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
1,437 |
1,262 |
$28K |
| 92370 |
|
896 |
857 |
$17K |
| 92341 |
|
667 |
602 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
544 |
414 |
$13K |
| 92250 |
|
918 |
749 |
$11K |
| V2750 |
Anti-reflective coating, per lens |
1,707 |
1,533 |
$8K |
| 92353 |
|
491 |
470 |
$6K |
| 92015 |
Determination of refractive state |
579 |
549 |
$5K |
| 92342 |
|
674 |
376 |
$3K |
| V2500 |
Contact lens, pmma, spherical, per lens |
77 |
53 |
$3K |
| 92310 |
|
148 |
115 |
$2K |
| 92285 |
|
203 |
154 |
$2K |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
58 |
56 |
$1K |
| V2755 |
U-v lens, per lens |
72 |
56 |
$781.24 |
| V2744 |
Tint, photochromatic, per lens |
56 |
47 |
$525.00 |
| V2799 |
Vision item or service, miscellaneous |
38 |
28 |
$0.00 |