| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,739 |
1,520 |
$106K |
| V2020 |
Frames, purchases |
2,228 |
1,946 |
$31K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
349 |
318 |
$26K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,721 |
1,598 |
$20K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
113 |
106 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
428 |
373 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
124 |
119 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
49 |
45 |
$812.91 |
| 92083 |
|
15 |
15 |
$566.88 |
| 92015 |
Determination of refractive state |
1,952 |
1,671 |
$0.00 |