| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,001 |
3,768 |
$265K |
| V2020 |
Frames, purchases |
6,202 |
5,655 |
$118K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,231 |
1,149 |
$98K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,914 |
3,434 |
$95K |
| 92015 |
Determination of refractive state |
5,410 |
5,069 |
$86K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,336 |
4,870 |
$64K |
| 92250 |
|
5,526 |
5,167 |
$64K |
| 92082 |
|
150 |
142 |
$5K |
| 92025 |
|
229 |
219 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
88 |
64 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19 |
18 |
$814.02 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$312.81 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
77 |
57 |
$275.46 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
20 |
14 |
$216.40 |
| V2799 |
Vision item or service, miscellaneous |
26 |
26 |
$163.02 |