| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92285 |
|
699 |
698 |
$41K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
788 |
779 |
$41K |
| 92250 |
|
853 |
842 |
$39K |
| 92083 |
|
484 |
481 |
$23K |
| 92286 |
|
276 |
276 |
$22K |
| V2020 |
Frames, purchases |
621 |
616 |
$14K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
394 |
392 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
107 |
107 |
$5K |
| 92060 |
|
70 |
70 |
$2K |
| 92133 |
|
40 |
40 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13 |
13 |
$426.82 |