| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,430 |
3,352 |
$148K |
| V2020 |
Frames, purchases |
2,610 |
2,409 |
$114K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,890 |
1,810 |
$107K |
| 99215 |
Prolong outpt/office vis |
874 |
856 |
$65K |
| 99205 |
Prolong outpt/office vis |
169 |
157 |
$17K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
303 |
152 |
$12K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
105 |
94 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
102 |
29 |
$690.00 |
| 92225 |
|
17 |
16 |
$443.87 |
| 2022F |
|
44 |
41 |
$0.00 |