| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,233 |
1,196 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
356 |
355 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
731 |
361 |
$7K |
| 92341 |
|
316 |
293 |
$6K |
| V2201 |
Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens |
198 |
189 |
$5K |
| 92002 |
|
210 |
210 |
$5K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
222 |
110 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
77 |
77 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
94 |
94 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
27 |
15 |
$251.64 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
26 |
13 |
$136.22 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
770 |
378 |
$0.00 |
| V2755 |
U-v lens, per lens |
114 |
57 |
$0.00 |