| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
716 |
698 |
$26K |
| 92082 |
|
376 |
369 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
143 |
142 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
102 |
102 |
$7K |
| V2020 |
Frames, purchases |
320 |
320 |
$2K |
| 92225 |
|
108 |
52 |
$1K |
| 92081 |
|
28 |
24 |
$783.94 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
22 |
12 |
$307.56 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
47 |
24 |
$0.00 |