| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
416 |
408 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
197 |
197 |
$9K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
87 |
86 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
57 |
57 |
$1K |
| 92002 |
|
17 |
17 |
$978.86 |
| V2756 |
Eye glass case |
305 |
303 |
$319.68 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$305.54 |
| 92370 |
|
12 |
12 |
$180.00 |