| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,995 |
1,876 |
$130K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,321 |
1,243 |
$109K |
| V2020 |
Frames, purchases |
2,618 |
2,389 |
$40K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,760 |
1,649 |
$20K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,176 |
1,084 |
$19K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
585 |
529 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
40 |
32 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
129 |
113 |
$1K |
| 99072 |
|
344 |
316 |
$0.00 |
| 92015 |
Determination of refractive state |
3,244 |
2,973 |
$0.00 |