| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,312 |
1,233 |
$83K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
908 |
880 |
$35K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
436 |
419 |
$34K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,526 |
2,458 |
$31K |
| 92015 |
Determination of refractive state |
2,267 |
2,136 |
$27K |
| V2020 |
Frames, purchases |
2,598 |
2,523 |
$20K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
448 |
438 |
$15K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
17 |
17 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
13 |
13 |
$1K |
| 99072 |
|
637 |
619 |
$0.00 |