| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,358 |
3,000 |
$215K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
557 |
493 |
$44K |
| V2020 |
Frames, purchases |
2,421 |
2,120 |
$39K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,193 |
1,050 |
$22K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,604 |
1,443 |
$19K |
| 92015 |
Determination of refractive state |
1,979 |
1,804 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
330 |
300 |
$4K |
| 92250 |
|
63 |
50 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
210 |
110 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18 |
16 |
$939.75 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
34 |
28 |
$759.78 |
| 92133 |
|
15 |
15 |
$353.37 |