| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,798 |
1,748 |
$57K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,094 |
1,069 |
$48K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,253 |
1,228 |
$38K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
833 |
815 |
$36K |
| 92015 |
Determination of refractive state |
546 |
531 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
525 |
504 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
208 |
207 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
491 |
481 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$881.66 |
| 92060 |
|
12 |
12 |
$730.96 |