| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,096 |
2,627 |
$186K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,404 |
1,204 |
$104K |
| V2020 |
Frames, purchases |
6,138 |
5,095 |
$89K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,246 |
2,412 |
$68K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,166 |
2,965 |
$37K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,312 |
1,459 |
$33K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
868 |
726 |
$27K |
| 92015 |
Determination of refractive state |
5,489 |
4,752 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
139 |
125 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
331 |
292 |
$3K |
| V2799 |
Vision item or service, miscellaneous |
17 |
17 |
$251.94 |