| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
3,621 |
3,547 |
$171K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,444 |
2,375 |
$117K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,896 |
1,352 |
$107K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,206 |
1,182 |
$98K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,834 |
734 |
$32K |
| V2020 |
Frames, purchases |
1,833 |
1,327 |
$13K |
| 92020 |
|
48 |
47 |
$608.00 |