| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,593 |
1,399 |
$102K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
696 |
615 |
$55K |
| V2020 |
Frames, purchases |
2,713 |
2,227 |
$47K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,267 |
1,964 |
$25K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
907 |
805 |
$17K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
802 |
720 |
$16K |
| 92250 |
|
153 |
127 |
$6K |
| 92015 |
Determination of refractive state |
299 |
275 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
13 |
13 |
$160.68 |