| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,648 |
1,637 |
$154K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,418 |
2,391 |
$114K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,720 |
1,711 |
$113K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
862 |
848 |
$30K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
420 |
415 |
$17K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
170 |
168 |
$5K |
| 92060 |
|
25 |
25 |
$927.75 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$323.00 |