| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
876 |
865 |
$61K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
770 |
764 |
$42K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
436 |
429 |
$41K |
| V2020 |
Frames, purchases |
390 |
376 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
279 |
273 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
388 |
379 |
$2K |
| 92370 |
|
41 |
41 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
24 |
$860.78 |