| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
928 |
853 |
$60K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
424 |
400 |
$34K |
| V2020 |
Frames, purchases |
445 |
386 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
113 |
89 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
218 |
187 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
167 |
145 |
$2K |
| 92134 |
|
37 |
26 |
$611.55 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
28 |
28 |
$463.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
31 |
28 |
$185.34 |
| 92015 |
Determination of refractive state |
651 |
611 |
$0.00 |
| 99072 |
|
70 |
64 |
$0.00 |