| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,590 |
1,553 |
$74K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,910 |
1,852 |
$70K |
| 92250 |
|
1,469 |
1,436 |
$63K |
| 92083 |
|
779 |
760 |
$36K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
760 |
732 |
$16K |
| 92133 |
|
463 |
449 |
$11K |
| V2020 |
Frames, purchases |
343 |
215 |
$10K |
| 99243 |
|
57 |
57 |
$4K |
| 92020 |
|
250 |
247 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$283.69 |
| 92015 |
Determination of refractive state |
31 |
31 |
$108.50 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
98 |
25 |
$0.00 |