| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
896 |
836 |
$61K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
463 |
440 |
$39K |
| V2020 |
Frames, purchases |
1,219 |
1,097 |
$18K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
933 |
858 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
430 |
379 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
249 |
227 |
$4K |
| 92015 |
Determination of refractive state |
1,285 |
1,178 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
67 |
63 |
$416.24 |