| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
990 |
936 |
$69K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
611 |
576 |
$53K |
| V2020 |
Frames, purchases |
2,191 |
2,010 |
$31K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,748 |
1,595 |
$21K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,633 |
1,092 |
$19K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
371 |
328 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
53 |
42 |
$607.40 |
| 92250 |
|
14 |
13 |
$510.12 |
| 92015 |
Determination of refractive state |
1,518 |
1,411 |
$0.00 |