| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,159 |
1,096 |
$83K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
295 |
281 |
$27K |
| V2020 |
Frames, purchases |
1,722 |
1,609 |
$24K |
| 92015 |
Determination of refractive state |
1,684 |
1,570 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
820 |
765 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
598 |
559 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
184 |
158 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
434 |
423 |
$7K |
| 92250 |
|
121 |
115 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
75 |
65 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
14 |
14 |
$173.04 |
| 3072F |
|
234 |
232 |
$0.00 |
| 2023F |
|
53 |
53 |
$0.00 |