| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
9,782 |
8,972 |
$675K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,059 |
3,732 |
$343K |
| V2020 |
Frames, purchases |
10,172 |
9,144 |
$147K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
7,956 |
5,131 |
$81K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,802 |
5,505 |
$73K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,075 |
2,729 |
$39K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,249 |
2,053 |
$25K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
594 |
368 |
$19K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
344 |
255 |
$13K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
519 |
320 |
$5K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
178 |
127 |
$2K |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
16 |
12 |
$0.00 |
| 92015 |
Determination of refractive state |
603 |
535 |
$0.00 |