| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
309 |
307 |
$14K |
| 92083 |
|
223 |
221 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
94 |
87 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
41 |
41 |
$3K |
| 92020 |
|
183 |
179 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31 |
31 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
27 |
27 |
$928.00 |
| V2020 |
Frames, purchases |
41 |
41 |
$377.00 |
| 76514 |
|
13 |
13 |
$116.65 |
| 92015 |
Determination of refractive state |
88 |
86 |
$0.00 |