| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
411 |
382 |
$28K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
217 |
205 |
$18K |
| V2020 |
Frames, purchases |
825 |
754 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
667 |
607 |
$9K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
202 |
192 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
67 |
63 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
33 |
33 |
$395.52 |
| 92015 |
Determination of refractive state |
31 |
27 |
$0.00 |