| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,932 |
4,684 |
$284K |
| V2020 |
Frames, purchases |
13,821 |
12,990 |
$273K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,684 |
3,549 |
$210K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,338 |
4,088 |
$199K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
10,005 |
8,720 |
$183K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
2,180 |
1,853 |
$102K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,043 |
1,980 |
$40K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
188 |
185 |
$12K |
| V2025 |
Deluxe frame |
277 |
223 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
666 |
646 |
$8K |
| V2799 |
Vision item or service, miscellaneous |
280 |
274 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
332 |
283 |
$3K |
| 3072F |
|
1,183 |
1,147 |
$1K |
| 92015 |
Determination of refractive state |
277 |
272 |
$851.20 |