| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,575 |
1,328 |
$94K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
453 |
403 |
$34K |
| V2020 |
Frames, purchases |
1,441 |
1,282 |
$22K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
902 |
839 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
161 |
89 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
376 |
208 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
163 |
148 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
12 |
$465.14 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
21 |
13 |
$329.06 |
| 92015 |
Determination of refractive state |
53 |
45 |
$0.00 |