| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,047 |
5,836 |
$428K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,197 |
2,140 |
$194K |
| V2020 |
Frames, purchases |
9,979 |
9,566 |
$177K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
6,120 |
5,904 |
$125K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
6,580 |
6,407 |
$76K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,849 |
3,674 |
$71K |
| 92250 |
|
1,101 |
1,053 |
$25K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,065 |
1,953 |
$23K |
| 92285 |
|
939 |
894 |
$17K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
610 |
581 |
$13K |
| V2799 |
Vision item or service, miscellaneous |
265 |
240 |
$3K |
| 3072F |
|
2,392 |
2,267 |
$760.00 |