| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,903 |
2,805 |
$206K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
878 |
850 |
$77K |
| V2020 |
Frames, purchases |
4,080 |
3,903 |
$65K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,685 |
2,554 |
$44K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,133 |
3,051 |
$40K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
144 |
143 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
671 |
639 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
30 |
30 |
$376.35 |
| V2799 |
Vision item or service, miscellaneous |
32 |
31 |
$291.58 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
13 |
12 |
$188.19 |
| 92015 |
Determination of refractive state |
3,686 |
3,523 |
$5.60 |