| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,175 |
1,105 |
$35K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,025 |
938 |
$34K |
| V2020 |
Frames, purchases |
1,515 |
1,396 |
$20K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,374 |
1,257 |
$20K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
524 |
475 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33 |
28 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
30 |
25 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$644.91 |
| 92341 |
|
12 |
12 |
$227.55 |