| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V5261 |
Hearing aid, digital, binaural, bte |
309 |
309 |
$68K |
| 92552 |
|
833 |
833 |
$67K |
| V5160 |
Dispensing fee, binaural |
310 |
310 |
$62K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
442 |
442 |
$50K |
| 99499 |
|
605 |
605 |
$40K |
| 92250 |
|
740 |
740 |
$37K |
| V5257 |
Hearing aid, digital, monaural, bte |
50 |
50 |
$25K |
| V5011 |
Fitting/orientation/checking of hearing aid |
104 |
101 |
$12K |
| V5266 |
Battery for use in hearing device |
450 |
450 |
$9K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
39 |
39 |
$6K |
| V5241 |
Dispensing fee, monaural hearing aid, any type |
50 |
50 |
$5K |
| 3044F |
|
45 |
45 |
$588.00 |
| 3051F |
|
15 |
15 |
$180.00 |
| 3074F |
|
49 |
49 |
$122.50 |
| 3077F |
|
15 |
15 |
$37.50 |
| 2023F |
|
590 |
590 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
13 |
13 |
$0.00 |
| V2025 |
Deluxe frame |
13 |
13 |
$0.00 |