| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,426 |
3,338 |
$153K |
| 92250 |
|
1,957 |
1,873 |
$60K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
687 |
687 |
$32K |
| V2020 |
Frames, purchases |
1,539 |
1,518 |
$26K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,331 |
1,316 |
$24K |
| 92082 |
|
1,677 |
1,597 |
$22K |
| 92015 |
Determination of refractive state |
3,988 |
3,901 |
$14K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
355 |
355 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
13 |
$364.80 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
13 |
13 |
$312.00 |