| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,414 |
1,314 |
$75K |
| V2020 |
Frames, purchases |
1,581 |
1,424 |
$43K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
611 |
553 |
$35K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
578 |
469 |
$17K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
366 |
312 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
489 |
445 |
$5K |
| 92015 |
Determination of refractive state |
1,802 |
1,645 |
$0.00 |