| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,516 |
1,442 |
$103K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,018 |
986 |
$89K |
| V2020 |
Frames, purchases |
2,062 |
1,918 |
$37K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,394 |
1,261 |
$21K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
197 |
173 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
467 |
408 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
358 |
322 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
786 |
764 |
$4K |
| 92015 |
Determination of refractive state |
2,453 |
2,206 |
$0.00 |