| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,397 |
6,856 |
$506K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,640 |
3,396 |
$305K |
| V2020 |
Frames, purchases |
10,421 |
9,485 |
$195K |
| 92015 |
Determination of refractive state |
10,152 |
9,252 |
$105K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,831 |
4,381 |
$97K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,805 |
4,192 |
$91K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
7,108 |
6,670 |
$90K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,039 |
2,713 |
$34K |
| V2025 |
Deluxe frame |
134 |
107 |
$8K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
455 |
409 |
$7K |
| V2799 |
Vision item or service, miscellaneous |
264 |
237 |
$4K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
132 |
123 |
$3K |
| 92310 |
|
25 |
25 |
$2K |
| V2702 |
Deluxe lens feature |
56 |
45 |
$496.12 |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
12 |
12 |
$301.47 |
| 3072F |
|
23 |
22 |
$10.00 |