| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
251 |
249 |
$33K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
30 |
24 |
$10K |
| V2020 |
Frames, purchases |
98 |
95 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
132 |
68 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
68 |
65 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
101 |
98 |
$4K |
| 92015 |
Determination of refractive state |
148 |
148 |
$2K |
| 92136 |
|
101 |
88 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$626.56 |