| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,270 |
4,064 |
$314K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,390 |
1,310 |
$126K |
| V2020 |
Frames, purchases |
6,083 |
5,665 |
$86K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,125 |
3,874 |
$64K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,560 |
4,324 |
$60K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,948 |
1,829 |
$26K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,345 |
1,216 |
$14K |
| 83861 |
|
239 |
223 |
$6K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
63 |
57 |
$896.67 |
| 92015 |
Determination of refractive state |
5,168 |
4,824 |
$0.00 |