| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,012 |
1,711 |
$155K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,703 |
1,452 |
$106K |
| V2020 |
Frames, purchases |
2,663 |
2,243 |
$42K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,825 |
1,487 |
$28K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,735 |
1,619 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
112 |
78 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
284 |
261 |
$3K |
| 92015 |
Determination of refractive state |
3,113 |
2,650 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
93 |
89 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
44 |
26 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
29 |
28 |
$0.00 |