| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,707 |
4,566 |
$335K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,359 |
3,222 |
$290K |
| V2020 |
Frames, purchases |
9,184 |
8,421 |
$141K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,813 |
4,529 |
$79K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,284 |
4,961 |
$55K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,435 |
2,261 |
$37K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
230 |
219 |
$4K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
258 |
239 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
231 |
229 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
38 |
30 |
$2K |
| V2799 |
Vision item or service, miscellaneous |
47 |
46 |
$554.52 |
| 92015 |
Determination of refractive state |
6,474 |
6,085 |
$0.00 |
| 99072 |
|
494 |
485 |
$0.00 |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
15 |
13 |
$0.00 |