| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,601 |
4,459 |
$332K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,777 |
1,701 |
$153K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,678 |
5,323 |
$106K |
| V2020 |
Frames, purchases |
6,869 |
6,578 |
$98K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,394 |
5,246 |
$70K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,240 |
1,203 |
$37K |
| 92015 |
Determination of refractive state |
1,072 |
1,064 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
876 |
811 |
$10K |
| 3072F |
|
21 |
20 |
$0.00 |