| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,805 |
1,679 |
$122K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,137 |
1,068 |
$95K |
| V2020 |
Frames, purchases |
3,556 |
3,225 |
$53K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,746 |
2,532 |
$48K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,659 |
1,583 |
$21K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
167 |
153 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
662 |
606 |
$7K |
| 92341 |
|
12 |
12 |
$148.32 |
| 92015 |
Determination of refractive state |
1,802 |
1,674 |
$0.00 |