| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99243 |
|
379 |
376 |
$33K |
| V2020 |
Frames, purchases |
658 |
637 |
$17K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
146 |
144 |
$9K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
422 |
408 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
568 |
550 |
$6K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
29 |
27 |
$3K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
25 |
25 |
$1K |