| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,255 |
4,392 |
$220K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
734 |
705 |
$17K |
| V2020 |
Frames, purchases |
716 |
683 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
441 |
436 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43 |
26 |
$915.25 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
155 |
148 |
$33.00 |