| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
127 |
113 |
$9K |
| V2020 |
Frames, purchases |
482 |
421 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
255 |
233 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
213 |
206 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
95 |
93 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
12 |
12 |
$242.76 |
| 92015 |
Determination of refractive state |
228 |
206 |
$0.00 |