| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,918 |
2,744 |
$203K |
| V2020 |
Frames, purchases |
5,491 |
4,987 |
$91K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
988 |
936 |
$83K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,374 |
3,084 |
$57K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,524 |
4,149 |
$56K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
966 |
872 |
$15K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
633 |
570 |
$7K |
| 92015 |
Determination of refractive state |
1,504 |
1,413 |
$7K |
| V2799 |
Vision item or service, miscellaneous |
30 |
30 |
$296.40 |
| 3072F |
|
68 |
64 |
$20.00 |