| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,880 |
6,649 |
$479K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,048 |
3,855 |
$344K |
| V2020 |
Frames, purchases |
10,933 |
10,134 |
$175K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
8,054 |
7,861 |
$103K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,771 |
5,187 |
$89K |
| V2025 |
Deluxe frame |
1,382 |
1,303 |
$83K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,524 |
1,300 |
$76K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,768 |
2,557 |
$42K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,165 |
1,107 |
$14K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
278 |
249 |
$11K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
529 |
496 |
$9K |
| 92015 |
Determination of refractive state |
1,709 |
1,692 |
$6K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
307 |
283 |
$4K |
| 92341 |
|
220 |
214 |
$3K |
| 3072F |
|
26 |
26 |
$260.00 |