| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
562 |
512 |
$37K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
430 |
383 |
$34K |
| V2020 |
Frames, purchases |
796 |
732 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
473 |
442 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
259 |
184 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
170 |
159 |
$2K |