| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,443 |
2,319 |
$156K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,119 |
1,095 |
$86K |
| V2020 |
Frames, purchases |
3,495 |
3,361 |
$83K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,230 |
1,179 |
$30K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
595 |
549 |
$26K |
| 92002 |
|
416 |
404 |
$23K |
| V2111 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens |
90 |
83 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
141 |
121 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57 |
40 |
$2K |
| V2756 |
Eye glass case |
1,543 |
1,490 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
14 |
14 |
$480.22 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
19 |
13 |
$308.00 |