| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,592 |
2,372 |
$177K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
955 |
890 |
$79K |
| V2020 |
Frames, purchases |
4,494 |
4,089 |
$70K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,531 |
3,322 |
$45K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,447 |
2,269 |
$38K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
304 |
252 |
$12K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
649 |
611 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
586 |
501 |
$6K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
27 |
26 |
$795.75 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
15 |
$589.73 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
18 |
15 |
$254.61 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
12 |
12 |
$202.65 |
| 92015 |
Determination of refractive state |
3,371 |
3,031 |
$0.00 |