| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,523 |
5,262 |
$399K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,461 |
1,411 |
$133K |
| V2020 |
Frames, purchases |
7,702 |
7,292 |
$109K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,840 |
5,628 |
$77K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,410 |
4,170 |
$71K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,872 |
1,790 |
$28K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,453 |
1,320 |
$16K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
334 |
281 |
$15K |
| 92250 |
|
149 |
127 |
$5K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
247 |
241 |
$4K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
64 |
58 |
$4K |
| 92083 |
|
77 |
68 |
$3K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
153 |
150 |
$3K |
| 92133 |
|
26 |
25 |
$521.84 |
| 92015 |
Determination of refractive state |
6,279 |
5,878 |
$0.00 |