| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,506 |
1,421 |
$30K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,209 |
1,147 |
$29K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
325 |
310 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
255 |
234 |
$14K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
264 |
259 |
$13K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
746 |
708 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
48 |
48 |
$4K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
27 |
27 |
$783.00 |
| 92015 |
Determination of refractive state |
415 |
385 |
$602.55 |