| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
889 |
844 |
$64K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
378 |
365 |
$34K |
| V2020 |
Frames, purchases |
1,424 |
1,339 |
$25K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
747 |
710 |
$20K |
| 92015 |
Determination of refractive state |
1,337 |
1,305 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
446 |
440 |
$6K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
15 |
12 |
$793.30 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
31 |
31 |
$383.16 |