| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
464 |
461 |
$31K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
299 |
292 |
$17K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
172 |
169 |
$16K |
| V2020 |
Frames, purchases |
119 |
110 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
50 |
48 |
$890.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
119 |
116 |
$722.50 |
| 92370 |
|
13 |
12 |
$363.95 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$349.63 |