| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,336 |
2,261 |
$153K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,950 |
1,877 |
$146K |
| V2020 |
Frames, purchases |
3,596 |
3,436 |
$60K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,129 |
2,047 |
$44K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,234 |
2,143 |
$28K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
243 |
215 |
$13K |
| 92015 |
Determination of refractive state |
903 |
889 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
432 |
408 |
$5K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
14 |
14 |
$375.68 |
| 92341 |
|
27 |
26 |
$309.00 |