| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
756 |
583 |
$146K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,713 |
1,558 |
$102K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,813 |
1,641 |
$79K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,438 |
1,289 |
$53K |
| 92136 |
|
338 |
301 |
$4K |
| V2020 |
Frames, purchases |
38 |
38 |
$515.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
13 |
13 |
$351.00 |
| 92134 |
|
12 |
12 |
$191.36 |