| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,949 |
7,749 |
$563K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,817 |
4,675 |
$418K |
| V2020 |
Frames, purchases |
12,458 |
11,618 |
$198K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
10,524 |
10,312 |
$136K |
| V2025 |
Deluxe frame |
2,075 |
2,071 |
$119K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
6,942 |
6,296 |
$106K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,119 |
944 |
$52K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,182 |
3,000 |
$49K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,280 |
1,230 |
$15K |
| 92015 |
Determination of refractive state |
3,814 |
3,804 |
$14K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
202 |
189 |
$10K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
460 |
420 |
$7K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
194 |
170 |
$2K |
| 92341 |
|
171 |
167 |
$2K |
| 3072F |
|
380 |
378 |
$0.00 |