| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,941 |
2,840 |
$207K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,187 |
1,142 |
$103K |
| V2020 |
Frames, purchases |
4,390 |
4,237 |
$81K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,754 |
2,664 |
$66K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,268 |
3,206 |
$40K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
284 |
261 |
$5K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
30 |
24 |
$1K |
| V2781 |
Progressive lens, per lens |
15 |
15 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
113 |
106 |
$1K |
| 92015 |
Determination of refractive state |
282 |
233 |
$855.00 |
| 2023F |
|
78 |
77 |
$0.00 |