| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,572 |
3,253 |
$239K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,611 |
1,495 |
$134K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
5,814 |
5,316 |
$104K |
| V2020 |
Frames, purchases |
6,739 |
6,081 |
$93K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,826 |
4,632 |
$62K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
487 |
425 |
$26K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
619 |
421 |
$5K |
| 92341 |
|
25 |
12 |
$148.32 |
| 92015 |
Determination of refractive state |
4,039 |
3,621 |
$0.00 |