| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
659 |
641 |
$19K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
215 |
212 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
359 |
354 |
$5K |
| V2020 |
Frames, purchases |
449 |
396 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
70 |
56 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
135 |
135 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
41 |
39 |
$462.00 |