| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,450 |
2,247 |
$174K |
| V2020 |
Frames, purchases |
1,703 |
1,660 |
$98K |
| 92015 |
Determination of refractive state |
2,556 |
2,417 |
$36K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
726 |
713 |
$30K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
278 |
256 |
$22K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
366 |
280 |
$7K |
| 83861 |
|
385 |
145 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
185 |
181 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25 |
12 |
$955.27 |
| 83516 |
|
24 |
12 |
$303.48 |