| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92082 |
|
1,573 |
1,562 |
$70K |
| 92250 |
|
1,551 |
1,540 |
$63K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
616 |
609 |
$56K |
| V2020 |
Frames, purchases |
2,880 |
2,863 |
$56K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,017 |
937 |
$34K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,122 |
715 |
$28K |
| 92285 |
|
1,072 |
1,067 |
$25K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
68 |
68 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
54 |
53 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
868 |
444 |
$790.00 |