| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,765 |
4,563 |
$334K |
| V2020 |
Frames, purchases |
7,762 |
7,378 |
$131K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,399 |
1,363 |
$125K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,645 |
3,508 |
$79K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,839 |
4,757 |
$63K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,556 |
2,436 |
$43K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
500 |
462 |
$25K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
145 |
128 |
$7K |
| 92015 |
Determination of refractive state |
5,230 |
4,859 |
$4K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
134 |
133 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
190 |
168 |
$2K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
50 |
50 |
$977.36 |