| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,522 |
2,200 |
$157K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,317 |
1,173 |
$103K |
| V2020 |
Frames, purchases |
4,533 |
3,922 |
$66K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,216 |
1,641 |
$32K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,342 |
1,322 |
$24K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,586 |
1,415 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
610 |
535 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
67 |
63 |
$3K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
67 |
40 |
$2K |
| V2799 |
Vision item or service, miscellaneous |
57 |
50 |
$767.10 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
24 |
12 |
$714.61 |
| 92015 |
Determination of refractive state |
3,724 |
3,215 |
$0.00 |