| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92082 |
|
1,124 |
1,118 |
$44K |
| 92250 |
|
904 |
898 |
$36K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,053 |
626 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
197 |
196 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
296 |
290 |
$16K |
| V2020 |
Frames, purchases |
1,362 |
1,331 |
$15K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
123 |
118 |
$7K |
| 92081 |
|
139 |
138 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
26 |
26 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
39 |
39 |
$556.65 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
190 |
97 |
$84.00 |