| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
962 |
897 |
$68K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
495 |
447 |
$41K |
| V2020 |
Frames, purchases |
1,692 |
1,560 |
$24K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,197 |
1,065 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
173 |
153 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
628 |
591 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
282 |
266 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
13 |
13 |
$241.25 |
| 92015 |
Determination of refractive state |
42 |
34 |
$0.00 |