| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
473 |
441 |
$29K |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
80 |
77 |
$27K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
588 |
562 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
329 |
263 |
$17K |
| V2020 |
Frames, purchases |
500 |
456 |
$6K |
| 92015 |
Determination of refractive state |
994 |
960 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
72 |
72 |
$4K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
43 |
40 |
$1K |
| 92083 |
|
19 |
14 |
$787.92 |