| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,633 |
4,509 |
$326K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,135 |
2,979 |
$265K |
| V2020 |
Frames, purchases |
8,814 |
8,188 |
$139K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
6,686 |
6,451 |
$85K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,239 |
3,799 |
$64K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
982 |
844 |
$48K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,215 |
2,063 |
$34K |
| V2025 |
Deluxe frame |
598 |
579 |
$33K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
254 |
227 |
$12K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
896 |
846 |
$10K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
272 |
256 |
$5K |
| 92015 |
Determination of refractive state |
1,014 |
1,002 |
$4K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
133 |
125 |
$2K |
| 92341 |
|
91 |
86 |
$1K |
| 3072F |
|
36 |
24 |
$230.00 |