| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,487 |
2,173 |
$191K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,558 |
1,392 |
$155K |
| V2020 |
Frames, purchases |
3,017 |
2,615 |
$86K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,839 |
1,545 |
$60K |
| 92015 |
Determination of refractive state |
4,306 |
3,773 |
$52K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
375 |
330 |
$7K |
| 92227 |
|
374 |
370 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
106 |
89 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
122 |
97 |
$2K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
14 |
12 |
$386.42 |
| V2755 |
U-v lens, per lens |
12 |
12 |
$135.00 |