| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,094 |
1,056 |
$78K |
| 92250 |
|
1,122 |
1,077 |
$48K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
413 |
400 |
$37K |
| V2020 |
Frames, purchases |
1,881 |
1,787 |
$32K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
970 |
902 |
$19K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,235 |
1,197 |
$16K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
350 |
339 |
$11K |
| 92015 |
Determination of refractive state |
827 |
802 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
98 |
97 |
$1K |
| 99070 |
|
12 |
12 |
$0.00 |