| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
10,098 |
9,309 |
$672K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,925 |
3,671 |
$330K |
| V2020 |
Frames, purchases |
11,565 |
10,406 |
$170K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
5,291 |
4,809 |
$96K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,928 |
5,704 |
$75K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,163 |
3,768 |
$71K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,133 |
887 |
$43K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
657 |
571 |
$33K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
315 |
286 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,201 |
1,155 |
$14K |
| 92250 |
|
99 |
92 |
$3K |
| V2799 |
Vision item or service, miscellaneous |
201 |
185 |
$2K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
13 |
12 |
$212.30 |
| 3072F |
|
14 |
12 |
$1.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
22 |
22 |
$0.00 |
| 92015 |
Determination of refractive state |
13,158 |
11,698 |
$0.00 |