| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,932 |
2,478 |
$184K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
886 |
806 |
$73K |
| V2020 |
Frames, purchases |
1,300 |
1,229 |
$22K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
912 |
872 |
$11K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
623 |
592 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
253 |
239 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
40 |
40 |
$765.05 |
| 92015 |
Determination of refractive state |
3,552 |
2,955 |
$0.00 |