| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,404 |
1,359 |
$103K |
| V2020 |
Frames, purchases |
3,528 |
3,348 |
$60K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
651 |
628 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
703 |
621 |
$40K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,108 |
2,030 |
$36K |
| 99205 |
Prolong outpt/office vis |
197 |
188 |
$22K |
| 99215 |
Prolong outpt/office vis |
291 |
278 |
$21K |
| 92015 |
Determination of refractive state |
1,037 |
1,026 |
$19K |
| 92083 |
|
276 |
248 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
885 |
850 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
790 |
764 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
761 |
750 |
$11K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
174 |
163 |
$10K |
| 92133 |
|
310 |
284 |
$6K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
65 |
56 |
$3K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
149 |
137 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
27 |
$3K |
| V2799 |
Vision item or service, miscellaneous |
67 |
65 |
$2K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
15 |
12 |
$239.50 |