| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,342 |
3,115 |
$273K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,407 |
2,302 |
$167K |
| V2020 |
Frames, purchases |
4,542 |
4,239 |
$69K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,681 |
2,468 |
$54K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,323 |
3,193 |
$36K |
| 92015 |
Determination of refractive state |
4,491 |
4,153 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
481 |
440 |
$5K |
| V2781 |
Progressive lens, per lens |
37 |
27 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
146 |
140 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50 |
44 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
31 |
27 |
$2K |
| 2023F |
|
545 |
483 |
$0.00 |