| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
855 |
846 |
$40K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
761 |
758 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
439 |
432 |
$25K |
| 92083 |
|
280 |
276 |
$14K |
| 92132 |
|
340 |
336 |
$9K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
407 |
225 |
$7K |
| V2020 |
Frames, purchases |
417 |
410 |
$5K |
| 92133 |
|
145 |
145 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
91 |
91 |
$4K |
| 92020 |
|
240 |
237 |
$3K |
| 76514 |
|
404 |
401 |
$3K |
| 76512 |
|
54 |
27 |
$2K |
| 99215 |
Prolong outpt/office vis |
24 |
24 |
$2K |
| 92225 |
|
137 |
69 |
$2K |
| 92202 |
|
38 |
38 |
$446.16 |
| 92015 |
Determination of refractive state |
27 |
27 |
$355.30 |
| 3072F |
|
14 |
12 |
$0.00 |