| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,915 |
2,895 |
$191K |
| V2020 |
Frames, purchases |
2,229 |
2,176 |
$63K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
808 |
802 |
$57K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,615 |
1,580 |
$36K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
118 |
117 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,264 |
1,244 |
$4K |
| V2756 |
Eye glass case |
1,292 |
1,267 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
12 |
$470.40 |
| 92015 |
Determination of refractive state |
2,555 |
2,533 |
$0.00 |