| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,014 |
942 |
$15K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
191 |
175 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
127 |
114 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
646 |
604 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
412 |
387 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
282 |
256 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
18 |
17 |
$226.10 |