| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
551 |
531 |
$14K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
146 |
134 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
271 |
259 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
102 |
95 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
28 |
28 |
$386.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
13 |
$12.36 |
| 92015 |
Determination of refractive state |
144 |
137 |
$0.00 |
| 99072 |
|
38 |
29 |
$0.00 |