| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
484 |
408 |
$33K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
283 |
235 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
124 |
121 |
$12K |
| V2020 |
Frames, purchases |
542 |
462 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
325 |
278 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
284 |
236 |
$3K |
| V2799 |
Vision item or service, miscellaneous |
159 |
152 |
$2K |
| 92015 |
Determination of refractive state |
26 |
12 |
$0.00 |