| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
707 |
644 |
$37K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
432 |
358 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
61 |
55 |
$5K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
16 |
13 |
$2K |
| 92250 |
|
27 |
26 |
$1K |
| V2020 |
Frames, purchases |
60 |
42 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
38 |
27 |
$926.90 |
| 92136 |
|
30 |
28 |
$924.98 |
| 92134 |
|
65 |
61 |
$447.59 |
| 92015 |
Determination of refractive state |
35 |
34 |
$391.32 |