| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
681 |
672 |
$25K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
414 |
409 |
$24K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
298 |
264 |
$18K |
| 92083 |
|
440 |
426 |
$16K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
213 |
207 |
$15K |
| V2020 |
Frames, purchases |
273 |
273 |
$8K |
| 92285 |
|
111 |
110 |
$5K |
| 92226 |
|
342 |
176 |
$4K |
| 92286 |
|
206 |
205 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
121 |
121 |
$3K |
| 92225 |
|
198 |
110 |
$2K |
| 68040 |
|
404 |
285 |
$1K |
| 92002 |
|
14 |
13 |
$380.00 |
| 76514 |
|
12 |
12 |
$127.65 |
| 92025 |
|
516 |
511 |
$97.28 |