| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,486 |
3,739 |
$262K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,059 |
2,534 |
$221K |
| V2020 |
Frames, purchases |
7,301 |
6,110 |
$142K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
6,015 |
5,268 |
$65K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,668 |
3,365 |
$50K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,947 |
1,053 |
$40K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
712 |
506 |
$22K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
846 |
623 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
661 |
512 |
$6K |
| V2025 |
Deluxe frame |
153 |
104 |
$6K |
| 92250 |
|
159 |
120 |
$4K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
74 |
36 |
$509.55 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
33 |
15 |
$487.32 |
| 92341 |
|
53 |
38 |
$457.32 |
| 92227 |
|
12 |
12 |
$97.52 |
| V2220 |
Bifocal add over 3.25d |
571 |
260 |
$1.83 |
| 1036F |
|
101 |
94 |
$0.00 |
| 3072F |
|
16 |
13 |
$0.00 |
| 92015 |
Determination of refractive state |
7,156 |
5,867 |
$0.00 |