| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
691 |
680 |
$100K |
| V2020 |
Frames, purchases |
975 |
965 |
$61K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
442 |
437 |
$51K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
616 |
609 |
$37K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
852 |
842 |
$25K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
209 |
207 |
$12K |
| 92015 |
Determination of refractive state |
1,161 |
1,149 |
$7K |
| 92341 |
|
51 |
51 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
13 |
$2K |