| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,587 |
2,406 |
$215K |
| V2020 |
Frames, purchases |
2,358 |
2,153 |
$82K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
659 |
624 |
$71K |
| 92015 |
Determination of refractive state |
4,395 |
4,091 |
$62K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
985 |
879 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45 |
39 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
61 |
55 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
17 |
13 |
$940.55 |