| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,020 |
926 |
$74K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
388 |
370 |
$40K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,032 |
990 |
$26K |
| V2020 |
Frames, purchases |
2,135 |
1,602 |
$24K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
472 |
432 |
$7K |
| V2799 |
Vision item or service, miscellaneous |
367 |
365 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
239 |
238 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$493.61 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
773 |
344 |
$0.00 |
| 92015 |
Determination of refractive state |
951 |
588 |
$0.00 |