| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,026 |
911 |
$81K |
| V2020 |
Frames, purchases |
916 |
776 |
$14K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
106 |
102 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
249 |
208 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
315 |
278 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
38 |
36 |
$738.80 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
53 |
53 |
$642.72 |