| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
272 |
260 |
$26K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
170 |
170 |
$10K |
| V2020 |
Frames, purchases |
120 |
120 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
199 |
198 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
211 |
211 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39 |
37 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$1K |