| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,169 |
1,102 |
$81K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
319 |
292 |
$26K |
| V2020 |
Frames, purchases |
1,631 |
1,501 |
$22K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
643 |
626 |
$12K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
259 |
207 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
87 |
85 |
$1K |