| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
756 |
676 |
$75K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
934 |
793 |
$68K |
| V2020 |
Frames, purchases |
1,384 |
1,198 |
$54K |
| 92015 |
Determination of refractive state |
2,475 |
2,071 |
$30K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
362 |
324 |
$16K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
39 |
36 |
$2K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
14 |
12 |
$0.00 |