| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
800 |
602 |
$57K |
| V2020 |
Frames, purchases |
3,031 |
2,220 |
$42K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
660 |
537 |
$40K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,390 |
922 |
$25K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
628 |
598 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
483 |
464 |
$5K |
| V2799 |
Vision item or service, miscellaneous |
404 |
403 |
$3K |
| V2025 |
Deluxe frame |
143 |
104 |
$3K |
| V2760 |
Scratch resistant coating, per lens |
45 |
31 |
$460.62 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
309 |
212 |
$0.00 |
| 92015 |
Determination of refractive state |
1,209 |
1,005 |
$0.00 |