| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,795 |
2,564 |
$192K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
631 |
571 |
$51K |
| V2020 |
Frames, purchases |
3,193 |
2,879 |
$43K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,171 |
2,896 |
$40K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,199 |
2,029 |
$39K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
415 |
346 |
$22K |