| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,805 |
1,692 |
$117K |
| 92015 |
Determination of refractive state |
2,053 |
1,927 |
$52K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
601 |
560 |
$48K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
197 |
172 |
$6K |
| V2020 |
Frames, purchases |
425 |
381 |
$6K |
| 92250 |
|
122 |
115 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
79 |
69 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
24 |
16 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
16 |
$237.12 |
| 2026F |
|
101 |
101 |
$0.00 |