| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,771 |
2,437 |
$176K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,340 |
1,191 |
$107K |
| V2020 |
Frames, purchases |
3,966 |
3,496 |
$70K |
| V2025 |
Deluxe frame |
850 |
698 |
$50K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,257 |
2,070 |
$38K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,514 |
1,414 |
$19K |
| 99215 |
Prolong outpt/office vis |
159 |
147 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
756 |
566 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
168 |
152 |
$7K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
171 |
153 |
$7K |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$855.33 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
391 |
285 |
$400.44 |
| 3072F |
|
139 |
114 |
$0.00 |