| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
699 |
644 |
$46K |
| V2020 |
Frames, purchases |
1,334 |
1,233 |
$18K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
210 |
201 |
$17K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
948 |
896 |
$11K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
697 |
419 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
200 |
158 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
36 |
27 |
$398.70 |