| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,042 |
1,201 |
$19K |
| 92250 |
|
1,171 |
703 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,043 |
503 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
552 |
315 |
$5K |
| 92002 |
|
239 |
128 |
$987.20 |
| V2020 |
Frames, purchases |
514 |
64 |
$799.77 |
| 92015 |
Determination of refractive state |
636 |
270 |
$709.46 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
278 |
36 |
$696.33 |
| 92341 |
|
365 |
45 |
$0.00 |