| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
857 |
813 |
$42K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
520 |
509 |
$29K |
| V2020 |
Frames, purchases |
794 |
748 |
$24K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
486 |
463 |
$21K |
| 92015 |
Determination of refractive state |
1,712 |
1,639 |
$15K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
408 |
393 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
285 |
258 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
64 |
64 |
$928.00 |