| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,129 |
1,015 |
$81K |
| V2020 |
Frames, purchases |
2,117 |
2,006 |
$72K |
| 99336 |
|
701 |
685 |
$57K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
356 |
331 |
$21K |
| 99327 |
|
149 |
146 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
146 |
136 |
$9K |
| 92341 |
|
1,558 |
1,501 |
$7K |
| 99335 |
|
104 |
103 |
$6K |
| V2025 |
Deluxe frame |
190 |
167 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
412 |
384 |
$5K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,279 |
1,216 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
49 |
49 |
$2K |
| 92015 |
Determination of refractive state |
1,190 |
1,156 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
209 |
193 |
$997.28 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
29 |
25 |
$76.32 |
| 3072F |
|
16 |
14 |
$0.00 |