| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
10,880 |
9,964 |
$435K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,504 |
4,970 |
$332K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,082 |
3,770 |
$165K |
| 92015 |
Determination of refractive state |
9,796 |
8,945 |
$53K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
495 |
477 |
$46K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
909 |
829 |
$40K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
426 |
355 |
$22K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
334 |
322 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
91 |
66 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24 |
24 |
$816.80 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
12 |
12 |
$557.06 |