| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,818 |
5,572 |
$375K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,472 |
2,376 |
$176K |
| V2020 |
Frames, purchases |
9,133 |
8,567 |
$130K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,807 |
4,540 |
$113K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,522 |
1,406 |
$92K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,611 |
1,554 |
$39K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,324 |
3,254 |
$37K |
| 92015 |
Determination of refractive state |
5,583 |
5,267 |
$17K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
97 |
92 |
$6K |