| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,614 |
1,508 |
$136K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,383 |
1,300 |
$98K |
| 92015 |
Determination of refractive state |
2,893 |
2,714 |
$88K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,929 |
1,810 |
$55K |
| V2020 |
Frames, purchases |
2,889 |
2,700 |
$44K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,507 |
2,346 |
$31K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
242 |
231 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
55 |
54 |
$769.86 |