| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,820 |
1,706 |
$131K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,842 |
1,750 |
$126K |
| V2020 |
Frames, purchases |
692 |
626 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
465 |
417 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
418 |
384 |
$5K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
47 |
47 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
154 |
139 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
47 |
39 |
$3K |
| 92285 |
|
16 |
13 |
$300.92 |
| 92015 |
Determination of refractive state |
3,083 |
2,798 |
$0.00 |