| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
647 |
622 |
$25K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
521 |
490 |
$23K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
455 |
434 |
$21K |
| 92015 |
Determination of refractive state |
1,510 |
1,302 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
163 |
100 |
$2K |
| 92002 |
|
17 |
16 |
$879.36 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
18 |
15 |
$531.90 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$317.23 |