| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,962 |
6,371 |
$472K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,643 |
2,434 |
$218K |
| V2020 |
Frames, purchases |
6,729 |
6,125 |
$99K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,374 |
3,300 |
$52K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,078 |
3,851 |
$52K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,627 |
1,689 |
$25K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,541 |
1,423 |
$17K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
332 |
192 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
76 |
50 |
$2K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
119 |
77 |
$1K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
35 |
28 |
$355.75 |
| 92015 |
Determination of refractive state |
375 |
325 |
$0.00 |