| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,750 |
2,543 |
$190K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,121 |
1,067 |
$99K |
| V2020 |
Frames, purchases |
3,237 |
2,999 |
$45K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,884 |
2,695 |
$35K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,772 |
1,725 |
$27K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
685 |
479 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
137 |
121 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
126 |
124 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45 |
44 |
$1K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
15 |
14 |
$239.42 |
| V2799 |
Vision item or service, miscellaneous |
14 |
14 |
$207.48 |
| 92015 |
Determination of refractive state |
77 |
74 |
$0.00 |