| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,777 |
1,746 |
$132K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
906 |
895 |
$83K |
| V2020 |
Frames, purchases |
2,703 |
2,546 |
$38K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
685 |
632 |
$34K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,913 |
1,628 |
$27K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,544 |
1,508 |
$19K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
701 |
685 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
733 |
491 |
$7K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
101 |
69 |
$955.35 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
22 |
13 |
$749.98 |