| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,138 |
3,033 |
$226K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,900 |
1,821 |
$166K |
| V2020 |
Frames, purchases |
5,170 |
4,874 |
$86K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,543 |
2,380 |
$44K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,596 |
2,478 |
$33K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,150 |
2,005 |
$32K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
229 |
209 |
$3K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
25 |
24 |
$1K |
| V2799 |
Vision item or service, miscellaneous |
78 |
77 |
$1K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
13 |
13 |
$686.96 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
13 |
$523.29 |
| 92015 |
Determination of refractive state |
526 |
469 |
$0.00 |