| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,373 |
2,355 |
$350K |
| 92250 |
|
6,090 |
5,992 |
$347K |
| 99499 |
|
1,891 |
1,890 |
$179K |
| V2020 |
Frames, purchases |
1,211 |
1,209 |
$148K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
805 |
805 |
$30K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
541 |
534 |
$14K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
366 |
366 |
$12K |
| 99344 |
|
12 |
12 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13 |
12 |
$880.38 |
| 92225 |
|
12 |
12 |
$105.12 |
| 2023F |
|
2,917 |
2,911 |
$0.00 |
| 3044F |
|
17 |
17 |
$0.00 |