| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,987 |
6,413 |
$474K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,329 |
3,955 |
$362K |
| V2020 |
Frames, purchases |
8,342 |
7,413 |
$125K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
6,519 |
3,854 |
$60K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,021 |
3,815 |
$50K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,444 |
853 |
$44K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
916 |
673 |
$35K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,419 |
2,114 |
$30K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,697 |
2,325 |
$29K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
106 |
77 |
$3K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
261 |
178 |
$2K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
204 |
145 |
$2K |
| 3072F |
|
28 |
25 |
$0.00 |
| 92015 |
Determination of refractive state |
599 |
540 |
$0.00 |