| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
754 |
716 |
$52K |
| V2020 |
Frames, purchases |
2,482 |
2,325 |
$37K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,000 |
952 |
$19K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
223 |
211 |
$19K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,249 |
1,207 |
$17K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
532 |
497 |
$10K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
14 |
13 |
$265.68 |
| 92250 |
|
14 |
14 |
$21.26 |
| 92015 |
Determination of refractive state |
158 |
124 |
$0.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
51 |
46 |
$0.00 |