| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,769 |
7,339 |
$538K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,773 |
3,563 |
$324K |
| V2020 |
Frames, purchases |
11,926 |
10,987 |
$180K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
8,138 |
7,739 |
$104K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,637 |
1,505 |
$89K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,312 |
5,010 |
$87K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,599 |
3,364 |
$56K |
| 92250 |
|
1,698 |
1,491 |
$44K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
616 |
552 |
$25K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,082 |
1,973 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
229 |
207 |
$9K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
357 |
330 |
$5K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
106 |
101 |
$2K |
| 92341 |
|
117 |
117 |
$1K |
| V2799 |
Vision item or service, miscellaneous |
50 |
50 |
$489.42 |
| 92015 |
Determination of refractive state |
10,966 |
10,044 |
$0.00 |