| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,214 |
6,047 |
$435K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,469 |
2,386 |
$205K |
| V2020 |
Frames, purchases |
8,792 |
8,489 |
$138K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,311 |
4,082 |
$89K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,813 |
2,670 |
$59K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,398 |
4,269 |
$56K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
755 |
709 |
$43K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
664 |
624 |
$38K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
645 |
629 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
92 |
86 |
$4K |
| V2799 |
Vision item or service, miscellaneous |
296 |
296 |
$3K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
139 |
128 |
$2K |
| 92015 |
Determination of refractive state |
126 |
122 |
$2K |
| 92341 |
|
96 |
92 |
$1K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$322.54 |