| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,388 |
2,345 |
$186K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,454 |
1,428 |
$135K |
| V2020 |
Frames, purchases |
3,438 |
3,352 |
$51K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,260 |
2,213 |
$45K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,964 |
2,889 |
$40K |
| 92015 |
Determination of refractive state |
1,558 |
1,525 |
$22K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
169 |
169 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
213 |
206 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
218 |
213 |
$3K |
| V2799 |
Vision item or service, miscellaneous |
106 |
106 |
$2K |