| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
526 |
481 |
$26K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
181 |
156 |
$9K |
| V2020 |
Frames, purchases |
380 |
347 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
197 |
189 |
$1K |
| 92015 |
Determination of refractive state |
351 |
297 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
36 |
25 |
$640.80 |
| 92083 |
|
27 |
25 |
$445.39 |
| 92133 |
|
32 |
27 |
$226.50 |