| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,309 |
7,253 |
$120K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
578 |
510 |
$18K |
| 92015 |
Determination of refractive state |
2,309 |
2,301 |
$9K |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
79 |
78 |
$2K |
| 92020 |
|
39 |
38 |
$528.00 |
| V2020 |
Frames, purchases |
12 |
12 |
$40.00 |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
108 |
108 |
$0.00 |
| 2033F |
|
390 |
367 |
$0.00 |
| 3072F |
|
776 |
761 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
36 |
36 |
$0.00 |