| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,973 |
1,937 |
$33K |
| 92341 |
|
1,236 |
1,236 |
$32K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
756 |
756 |
$23K |
| V2020 |
Frames, purchases |
857 |
857 |
$20K |
| V2204 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
820 |
820 |
$20K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
517 |
506 |
$17K |
| 92015 |
Determination of refractive state |
853 |
843 |
$16K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
543 |
529 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
117 |
112 |
$3K |
| 92250 |
|
26 |
26 |
$307.64 |
| V2760 |
Scratch resistant coating, per lens |
12 |
12 |
$120.00 |
| V2755 |
U-v lens, per lens |
12 |
12 |
$72.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
14 |
14 |
$0.00 |