| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,185 |
992 |
$76K |
| 92015 |
Determination of refractive state |
1,807 |
1,541 |
$22K |
| V2020 |
Frames, purchases |
717 |
602 |
$14K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
341 |
191 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
165 |
160 |
$6K |
| V2755 |
U-v lens, per lens |
117 |
104 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28 |
24 |
$931.54 |