| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,920 |
3,465 |
$262K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,316 |
2,007 |
$186K |
| V2020 |
Frames, purchases |
7,400 |
6,580 |
$98K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,542 |
5,245 |
$67K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,644 |
3,724 |
$63K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,344 |
914 |
$55K |
| 92250 |
|
724 |
588 |
$24K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,729 |
1,594 |
$19K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,558 |
1,193 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
91 |
75 |
$4K |
| 92341 |
|
241 |
223 |
$3K |
| V2025 |
Deluxe frame |
32 |
31 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
13 |
13 |
$763.92 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
44 |
27 |
$337.75 |
| 92015 |
Determination of refractive state |
5,498 |
4,944 |
$0.00 |