| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
712 |
517 |
$0.00 |
| 92015 |
Determination of refractive state |
356 |
315 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
871 |
694 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
548 |
405 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
432 |
326 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
330 |
259 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
12 |
$0.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
19 |
14 |
$0.00 |