| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,548 |
2,454 |
$212K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,785 |
2,679 |
$195K |
| V2020 |
Frames, purchases |
4,480 |
4,206 |
$74K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,797 |
2,652 |
$61K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,104 |
2,990 |
$39K |
| 92015 |
Determination of refractive state |
1,549 |
1,518 |
$20K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
220 |
210 |
$15K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
886 |
834 |
$10K |
| V2781 |
Progressive lens, per lens |
38 |
38 |
$1K |
| V2799 |
Vision item or service, miscellaneous |
91 |
85 |
$1K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
15 |
14 |
$212.30 |