| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,607 |
2,180 |
$157K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,137 |
926 |
$83K |
| V2020 |
Frames, purchases |
3,901 |
3,275 |
$57K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,679 |
2,028 |
$40K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,951 |
2,586 |
$34K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
800 |
661 |
$12K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
176 |
116 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
581 |
464 |
$6K |
| 92250 |
|
137 |
126 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
81 |
73 |
$1K |
| V2799 |
Vision item or service, miscellaneous |
85 |
85 |
$1K |
| 92082 |
|
16 |
15 |
$246.58 |
| 92133 |
|
27 |
23 |
$192.07 |
| 92310 |
|
13 |
13 |
$64.00 |
| 92015 |
Determination of refractive state |
3,658 |
2,933 |
$0.00 |