| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12,500 |
11,442 |
$850K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,292 |
3,994 |
$362K |
| V2020 |
Frames, purchases |
11,436 |
10,368 |
$171K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
10,325 |
6,069 |
$100K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
6,704 |
6,336 |
$84K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,447 |
820 |
$45K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,164 |
2,011 |
$29K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,636 |
2,379 |
$29K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
950 |
578 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
268 |
186 |
$9K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
470 |
325 |
$4K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
30 |
26 |
$891.24 |
| V2799 |
Vision item or service, miscellaneous |
28 |
28 |
$192.66 |
| 3072F |
|
16 |
12 |
$0.00 |
| 92015 |
Determination of refractive state |
1,103 |
958 |
$0.00 |