| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,465 |
2,316 |
$171K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
794 |
748 |
$69K |
| V2020 |
Frames, purchases |
3,934 |
3,660 |
$59K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,248 |
3,081 |
$41K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,446 |
2,291 |
$41K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
891 |
847 |
$15K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
473 |
459 |
$6K |
| 92015 |
Determination of refractive state |
2,832 |
2,563 |
$813.20 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
14 |
12 |
$135.10 |