| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,002 |
976 |
$101K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
721 |
592 |
$70K |
| 92060 |
|
1,376 |
1,344 |
$59K |
| V2020 |
Frames, purchases |
950 |
790 |
$40K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
922 |
766 |
$28K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
300 |
245 |
$17K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
131 |
127 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$977.37 |