| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
469 |
411 |
$30K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
254 |
224 |
$20K |
| V2020 |
Frames, purchases |
562 |
510 |
$9K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
112 |
100 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
139 |
135 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
85 |
77 |
$882.14 |
| V2799 |
Vision item or service, miscellaneous |
13 |
13 |
$234.74 |
| 92015 |
Determination of refractive state |
1,247 |
1,045 |
$0.00 |