| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,484 |
2,207 |
$154K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,309 |
1,174 |
$101K |
| V2020 |
Frames, purchases |
3,556 |
3,240 |
$44K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,366 |
1,247 |
$41K |
| 92015 |
Determination of refractive state |
2,472 |
2,273 |
$34K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,791 |
1,666 |
$30K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
963 |
883 |
$27K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
142 |
138 |
$8K |
| V2799 |
Vision item or service, miscellaneous |
89 |
89 |
$919.74 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
53 |
53 |
$763.26 |
| V2025 |
Deluxe frame |
14 |
14 |
$702.23 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
14 |
13 |
$423.70 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
15 |
12 |
$240.61 |
| 99070 |
|
17 |
16 |
$0.00 |