| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,161 |
1,095 |
$80K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
655 |
632 |
$57K |
| V2020 |
Frames, purchases |
1,723 |
1,610 |
$27K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
951 |
885 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,149 |
1,109 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
287 |
269 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
95 |
90 |
$1K |
| 92015 |
Determination of refractive state |
2,115 |
1,957 |
$0.00 |