| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,033 |
1,959 |
$143K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,029 |
986 |
$88K |
| V2020 |
Frames, purchases |
2,977 |
2,777 |
$48K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,797 |
1,732 |
$23K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
732 |
702 |
$13K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
701 |
654 |
$12K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
511 |
496 |
$6K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
41 |
39 |
$2K |
| V2799 |
Vision item or service, miscellaneous |
49 |
46 |
$778.56 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
14 |
12 |
$681.80 |
| 92250 |
|
13 |
13 |
$136.02 |
| 92015 |
Determination of refractive state |
3,349 |
3,078 |
$0.00 |