| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
466 |
267 |
$18K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
109 |
84 |
$8K |
| V2020 |
Frames, purchases |
1,042 |
591 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
245 |
174 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
815 |
432 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
61 |
61 |
$815.10 |