| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,751 |
4,554 |
$336K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,828 |
2,696 |
$245K |
| V2020 |
Frames, purchases |
7,765 |
7,129 |
$116K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,353 |
4,093 |
$70K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,624 |
4,375 |
$51K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,960 |
1,826 |
$31K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
690 |
606 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
90 |
80 |
$4K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
108 |
98 |
$2K |
| V2799 |
Vision item or service, miscellaneous |
98 |
98 |
$1K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
76 |
66 |
$957.13 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$513.26 |
| 92083 |
|
14 |
12 |
$330.68 |
| 92310 |
|
16 |
15 |
$64.00 |
| 92015 |
Determination of refractive state |
6,655 |
6,220 |
$0.00 |
| 99072 |
|
478 |
463 |
$0.00 |