| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,706 |
7,299 |
$538K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,077 |
2,925 |
$265K |
| V2020 |
Frames, purchases |
10,645 |
9,765 |
$206K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,775 |
1,505 |
$78K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,170 |
4,462 |
$77K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,747 |
5,477 |
$73K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,692 |
2,344 |
$34K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,005 |
1,750 |
$21K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
478 |
411 |
$14K |
| 92015 |
Determination of refractive state |
1,668 |
1,643 |
$7K |
| 92341 |
|
412 |
373 |
$5K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
193 |
184 |
$3K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
93 |
90 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
72 |
64 |
$2K |
| V2799 |
Vision item or service, miscellaneous |
60 |
59 |
$726.28 |
| 3072F |
|
161 |
156 |
$260.00 |
| 2023F |
|
20 |
14 |
$20.00 |