| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,023 |
2,786 |
$120K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,851 |
2,668 |
$56K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,332 |
1,201 |
$53K |
| 92015 |
Determination of refractive state |
4,293 |
3,895 |
$29K |
| V2020 |
Frames, purchases |
1,276 |
1,229 |
$18K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
958 |
921 |
$14K |
| 92341 |
|
551 |
436 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
560 |
557 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
308 |
306 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
43 |
41 |
$676.80 |