| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,080 |
2,856 |
$183K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
3,098 |
2,856 |
$124K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,084 |
2,889 |
$63K |
| V2020 |
Frames, purchases |
3,632 |
3,406 |
$57K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
582 |
562 |
$55K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
692 |
688 |
$51K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
450 |
447 |
$20K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
123 |
121 |
$6K |
| 99334 |
|
17 |
17 |
$138.57 |
| 3072F |
|
14 |
14 |
$0.00 |