| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,145 |
1,075 |
$84K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
524 |
507 |
$48K |
| V2020 |
Frames, purchases |
1,944 |
1,804 |
$30K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,359 |
1,271 |
$23K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,654 |
1,536 |
$22K |
| 92015 |
Determination of refractive state |
1,392 |
1,306 |
$13K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
331 |
301 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
162 |
155 |
$2K |
| V2799 |
Vision item or service, miscellaneous |
12 |
12 |
$177.84 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
14 |
12 |
$164.05 |
| 2026F |
|
141 |
138 |
$0.00 |