| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,265 |
2,081 |
$152K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,396 |
1,278 |
$113K |
| V2020 |
Frames, purchases |
2,793 |
2,401 |
$41K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,588 |
1,417 |
$19K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,595 |
895 |
$17K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
873 |
739 |
$16K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
46 |
43 |
$863.46 |
| 92015 |
Determination of refractive state |
3,106 |
2,789 |
$0.00 |