| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,171 |
1,124 |
$86K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
482 |
466 |
$41K |
| V2020 |
Frames, purchases |
1,609 |
1,500 |
$24K |
| 92015 |
Determination of refractive state |
1,846 |
1,744 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
671 |
652 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
385 |
362 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
443 |
395 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
203 |
181 |
$3K |