| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,174 |
1,916 |
$136K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,315 |
2,858 |
$74K |
| V2020 |
Frames, purchases |
3,872 |
3,382 |
$59K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
649 |
592 |
$52K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,728 |
2,370 |
$27K |
| 92015 |
Determination of refractive state |
4,100 |
3,595 |
$13K |
| V2799 |
Vision item or service, miscellaneous |
403 |
398 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
303 |
240 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60 |
39 |
$996.76 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
14 |
$588.91 |