| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,101 |
1,075 |
$68K |
| 92065 |
|
1,776 |
506 |
$45K |
| V2020 |
Frames, purchases |
1,176 |
1,055 |
$28K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
324 |
312 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
281 |
253 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
197 |
183 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
76 |
67 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
67 |
52 |
$630.56 |
| V2756 |
Eye glass case |
519 |
460 |
$467.64 |