| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
931 |
894 |
$66K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
487 |
468 |
$42K |
| V2020 |
Frames, purchases |
1,420 |
1,246 |
$23K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
428 |
358 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
500 |
473 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
764 |
640 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
93 |
88 |
$2K |
| 92015 |
Determination of refractive state |
1,763 |
1,645 |
$0.00 |