| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
314 |
308 |
$35K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
298 |
298 |
$28K |
| 92250 |
|
413 |
407 |
$24K |
| 92082 |
|
499 |
492 |
$18K |
| 92286 |
|
535 |
532 |
$15K |
| 92015 |
Determination of refractive state |
908 |
900 |
$10K |
| V2020 |
Frames, purchases |
165 |
164 |
$4K |
| 76514 |
|
332 |
327 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
63 |
63 |
$1K |