| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,288 |
2,916 |
$215K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,199 |
2,016 |
$185K |
| V2020 |
Frames, purchases |
4,754 |
4,077 |
$68K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,521 |
2,226 |
$42K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,362 |
2,232 |
$29K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
614 |
522 |
$28K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,050 |
938 |
$18K |
| 92002 |
|
171 |
155 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
638 |
529 |
$6K |
| 92250 |
|
107 |
92 |
$4K |
| V2799 |
Vision item or service, miscellaneous |
122 |
94 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
46 |
42 |
$725.44 |
| 92015 |
Determination of refractive state |
1,433 |
1,090 |
$0.00 |