| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,075 |
6,701 |
$492K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,233 |
3,084 |
$280K |
| V2020 |
Frames, purchases |
10,846 |
10,098 |
$173K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
7,203 |
6,835 |
$92K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,480 |
4,214 |
$79K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,229 |
1,142 |
$65K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,460 |
3,240 |
$56K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
655 |
568 |
$27K |
| 92250 |
|
1,027 |
895 |
$23K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,605 |
1,519 |
$19K |
| V2799 |
Vision item or service, miscellaneous |
746 |
738 |
$7K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
220 |
216 |
$3K |
| 92341 |
|
70 |
70 |
$852.84 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$506.67 |
| 92015 |
Determination of refractive state |
10,116 |
9,226 |
$30.00 |