| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,814 |
2,557 |
$192K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,604 |
1,475 |
$134K |
| V2020 |
Frames, purchases |
4,578 |
4,173 |
$88K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,662 |
2,536 |
$53K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,828 |
1,570 |
$29K |
| 92015 |
Determination of refractive state |
3,048 |
2,973 |
$27K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,235 |
2,207 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
108 |
101 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
248 |
226 |
$4K |
| V2799 |
Vision item or service, miscellaneous |
27 |
27 |
$385.32 |
| 92285 |
|
13 |
12 |
$276.86 |
| 3072F |
|
493 |
477 |
$0.00 |
| 2023F |
|
1,004 |
972 |
$0.00 |