| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,863 |
1,763 |
$132K |
| 92015 |
Determination of refractive state |
2,247 |
2,134 |
$50K |
| V2020 |
Frames, purchases |
1,987 |
1,841 |
$37K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,689 |
1,621 |
$22K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
882 |
796 |
$22K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
169 |
164 |
$15K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
98 |
94 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
224 |
219 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
356 |
286 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
17 |
13 |
$834.72 |