| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,405 |
1,970 |
$145K |
| V2020 |
Frames, purchases |
1,707 |
1,531 |
$26K |
| 92015 |
Determination of refractive state |
1,975 |
1,812 |
$21K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
255 |
233 |
$21K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,295 |
1,193 |
$16K |
| 92285 |
|
731 |
493 |
$12K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
384 |
372 |
$12K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
498 |
454 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
16 |
12 |
$701.88 |
| V2799 |
Vision item or service, miscellaneous |
32 |
32 |
$371.50 |
| 83861 |
|
73 |
27 |
$187.44 |
| 3072F |
|
329 |
315 |
$0.00 |