| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,240 |
1,179 |
$79K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
810 |
777 |
$68K |
| V2020 |
Frames, purchases |
1,451 |
1,341 |
$26K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
818 |
743 |
$13K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
322 |
290 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
503 |
496 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
224 |
160 |
$2K |
| 92015 |
Determination of refractive state |
2,091 |
1,878 |
$0.00 |