| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,608 |
2,536 |
$179K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
773 |
759 |
$66K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,273 |
2,026 |
$64K |
| V2020 |
Frames, purchases |
2,866 |
2,777 |
$41K |
| 92015 |
Determination of refractive state |
3,095 |
3,019 |
$33K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,806 |
1,763 |
$23K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
435 |
371 |
$19K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
558 |
541 |
$7K |
| V2799 |
Vision item or service, miscellaneous |
25 |
25 |
$266.76 |