| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,996 |
1,973 |
$81K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,942 |
1,929 |
$53K |
| V2025 |
Deluxe frame |
904 |
900 |
$43K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
910 |
907 |
$40K |
| V2020 |
Frames, purchases |
1,382 |
1,373 |
$32K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
252 |
242 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
85 |
81 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,244 |
1,235 |
$6K |
| 92015 |
Determination of refractive state |
2,311 |
2,283 |
$370.69 |
| V2760 |
Scratch resistant coating, per lens |
127 |
125 |
$334.74 |