| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
982 |
936 |
$60K |
| V2020 |
Frames, purchases |
427 |
394 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
115 |
97 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33 |
31 |
$605.22 |
| V2756 |
Eye glass case |
241 |
225 |
$234.36 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
14 |
12 |
$228.22 |
| 92015 |
Determination of refractive state |
1,251 |
1,198 |
$15.05 |