| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,682 |
1,596 |
$116K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
804 |
749 |
$68K |
| V2020 |
Frames, purchases |
1,955 |
1,814 |
$30K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,026 |
976 |
$17K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,041 |
1,008 |
$13K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
111 |
109 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
32 |
24 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
80 |
67 |
$828.12 |
| 92015 |
Determination of refractive state |
2,371 |
2,174 |
$0.00 |
| 99072 |
|
257 |
238 |
$0.00 |