| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
393 |
343 |
$25K |
| V2020 |
Frames, purchases |
1,581 |
1,380 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
481 |
410 |
$18K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
204 |
177 |
$16K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
510 |
349 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
223 |
212 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
143 |
125 |
$2K |
| 92133 |
|
86 |
70 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$749.98 |
| 92083 |
|
12 |
12 |
$519.64 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
18 |
16 |
$197.70 |
| 92015 |
Determination of refractive state |
1,178 |
1,037 |
$0.00 |