| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
94 |
80 |
$42K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
449 |
165 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
464 |
168 |
$7K |
| 66821 |
|
44 |
39 |
$6K |
| V2020 |
Frames, purchases |
279 |
209 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
86 |
82 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
78 |
73 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
25 |
25 |
$1K |
| 92136 |
|
29 |
27 |
$563.13 |
| 92015 |
Determination of refractive state |
28 |
28 |
$126.00 |