| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,484 |
3,184 |
$227K |
| V2020 |
Frames, purchases |
4,628 |
4,189 |
$88K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,948 |
2,675 |
$67K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
805 |
738 |
$65K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,529 |
3,351 |
$42K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,084 |
980 |
$20K |
| 92015 |
Determination of refractive state |
1,838 |
1,633 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
211 |
185 |
$2K |
| 3072F |
|
878 |
828 |
$0.00 |
| 92341 |
|
16 |
16 |
$0.00 |