| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,256 |
1,053 |
$73K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,323 |
1,233 |
$41K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
444 |
366 |
$30K |
| 92015 |
Determination of refractive state |
1,778 |
1,541 |
$19K |
| V2020 |
Frames, purchases |
1,686 |
1,462 |
$17K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,231 |
1,210 |
$15K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$244.20 |