| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,171 |
7,413 |
$546K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,482 |
4,036 |
$364K |
| V2020 |
Frames, purchases |
9,070 |
8,297 |
$140K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
7,271 |
4,403 |
$69K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,438 |
4,228 |
$56K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,036 |
2,531 |
$37K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,070 |
649 |
$34K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,651 |
2,445 |
$30K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
167 |
125 |
$6K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
430 |
302 |
$4K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
173 |
118 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
36 |
26 |
$1K |
| V2799 |
Vision item or service, miscellaneous |
12 |
12 |
$74.10 |
| 92015 |
Determination of refractive state |
1,006 |
834 |
$0.00 |
| 3072F |
|
15 |
15 |
$0.00 |