| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
480 |
461 |
$30K |
| V2020 |
Frames, purchases |
539 |
519 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
328 |
314 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
72 |
71 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
331 |
270 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
85 |
70 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
317 |
303 |
$2K |
| 92250 |
|
29 |
28 |
$1K |
| 92015 |
Determination of refractive state |
503 |
488 |
$606.60 |
| V2715 |
Prism, per lens |
28 |
26 |
$0.00 |