| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
224 |
222 |
$8K |
| 92134 |
|
259 |
257 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
122 |
113 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
85 |
85 |
$3K |
| V2020 |
Frames, purchases |
214 |
194 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
63 |
61 |
$2K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
13 |
13 |
$1K |
| V2102 |
Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens |
27 |
24 |
$1K |
| 92250 |
|
21 |
21 |
$455.53 |