| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,444 |
2,287 |
$165K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
804 |
755 |
$68K |
| V2020 |
Frames, purchases |
2,612 |
2,392 |
$41K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,302 |
1,275 |
$16K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
893 |
808 |
$16K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
649 |
611 |
$12K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
348 |
326 |
$4K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
12 |
12 |
$671.60 |
| 92015 |
Determination of refractive state |
3,168 |
2,826 |
$218.50 |
| V2799 |
Vision item or service, miscellaneous |
18 |
18 |
$133.38 |