| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
355 |
314 |
$47K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
329 |
315 |
$31K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
149 |
149 |
$17K |
| 92060 |
|
562 |
543 |
$16K |
| V2020 |
Frames, purchases |
362 |
319 |
$12K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
173 |
157 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
63 |
57 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
360 |
317 |
$5K |
| 92250 |
|
53 |
52 |
$3K |