| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,197 |
1,069 |
$99K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,217 |
1,104 |
$87K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,422 |
1,249 |
$48K |
| V2020 |
Frames, purchases |
2,675 |
2,435 |
$31K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
825 |
768 |
$27K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,473 |
1,458 |
$19K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
103 |
99 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
242 |
241 |
$4K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
43 |
39 |
$3K |
| 92015 |
Determination of refractive state |
277 |
275 |
$2K |
| 3072F |
|
491 |
478 |
$0.00 |