| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,221 |
2,871 |
$127K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,077 |
2,686 |
$115K |
| 92250 |
|
2,247 |
2,216 |
$111K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,490 |
1,405 |
$74K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
767 |
762 |
$67K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,033 |
1,017 |
$52K |
| V2020 |
Frames, purchases |
3,740 |
3,210 |
$39K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
245 |
244 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
324 |
288 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
153 |
149 |
$7K |
| 92015 |
Determination of refractive state |
742 |
727 |
$4K |
| 92025 |
|
52 |
51 |
$1K |
| 76514 |
|
50 |
50 |
$470.89 |
| 92286 |
|
14 |
14 |
$462.00 |