| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
588 |
551 |
$21K |
| V2020 |
Frames, purchases |
580 |
547 |
$11K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,147 |
544 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
333 |
177 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$1K |