| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
802 |
774 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
203 |
194 |
$16K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
172 |
158 |
$11K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
136 |
123 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
201 |
196 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
78 |
78 |
$698.94 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
16 |
14 |
$343.70 |
| 92015 |
Determination of refractive state |
27 |
26 |
$131.10 |