| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
540 |
513 |
$34K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
194 |
190 |
$15K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
687 |
665 |
$11K |
| V2020 |
Frames, purchases |
841 |
800 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
770 |
735 |
$9K |
| 92015 |
Determination of refractive state |
856 |
812 |
$0.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
15 |
12 |
$0.00 |