| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
958 |
899 |
$66K |
| V2020 |
Frames, purchases |
1,425 |
1,257 |
$21K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
240 |
233 |
$21K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
570 |
541 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
232 |
195 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
156 |
135 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
13 |
13 |
$212.30 |
| 92015 |
Determination of refractive state |
1,479 |
1,373 |
$0.00 |