| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,358 |
1,316 |
$92K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
615 |
591 |
$53K |
| V2020 |
Frames, purchases |
1,913 |
1,829 |
$28K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,032 |
987 |
$19K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,196 |
1,153 |
$15K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
163 |
158 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
414 |
393 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42 |
39 |
$1K |
| 92341 |
|
83 |
80 |
$988.80 |