| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
679 |
623 |
$47K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
360 |
321 |
$30K |
| V2020 |
Frames, purchases |
1,350 |
1,201 |
$19K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
720 |
649 |
$9K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
512 |
447 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
199 |
187 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
126 |
122 |
$2K |
| 92015 |
Determination of refractive state |
286 |
255 |
$0.00 |