| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92002 |
|
2,517 |
2,430 |
$109K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,337 |
1,243 |
$58K |
| V2020 |
Frames, purchases |
2,178 |
2,082 |
$40K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
367 |
354 |
$26K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
818 |
783 |
$19K |
| 92015 |
Determination of refractive state |
772 |
766 |
$6K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
36 |
36 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
36 |
36 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
80 |
79 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
197 |
196 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
47 |
42 |
$570.78 |
| 3072F |
|
387 |
367 |
$20.00 |