| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
778 |
777 |
$54K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,125 |
1,196 |
$40K |
| V2020 |
Frames, purchases |
1,852 |
1,820 |
$31K |
| 92250 |
|
588 |
587 |
$26K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
386 |
381 |
$20K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
319 |
290 |
$12K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
137 |
81 |
$4K |
| 92060 |
|
78 |
78 |
$3K |
| 92002 |
|
51 |
51 |
$2K |
| 92083 |
|
41 |
41 |
$2K |
| 92285 |
|
40 |
40 |
$978.78 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
663 |
323 |
$6.00 |