| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,301 |
2,170 |
$176K |
| V2020 |
Frames, purchases |
2,770 |
2,645 |
$103K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
731 |
704 |
$67K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
807 |
783 |
$42K |
| 92015 |
Determination of refractive state |
1,723 |
1,611 |
$27K |
| V2755 |
U-v lens, per lens |
713 |
687 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53 |
42 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
63 |
62 |
$3K |