| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,803 |
4,573 |
$340K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,424 |
1,374 |
$124K |
| V2020 |
Frames, purchases |
5,903 |
5,496 |
$83K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,637 |
4,409 |
$58K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,647 |
3,222 |
$53K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,170 |
980 |
$53K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,419 |
998 |
$15K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
841 |
802 |
$10K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
59 |
40 |
$2K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
131 |
89 |
$1K |
| 92250 |
|
28 |
24 |
$841.65 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
38 |
26 |
$413.52 |