| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,774 |
2,606 |
$84K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
905 |
888 |
$48K |
| 92134 |
|
2,285 |
2,039 |
$47K |
| 92250 |
|
1,328 |
1,276 |
$42K |
| 92025 |
|
1,437 |
1,356 |
$23K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
398 |
339 |
$10K |
| 92133 |
|
233 |
219 |
$6K |
| 92020 |
|
655 |
621 |
$6K |
| 92202 |
|
883 |
837 |
$5K |
| 76514 |
|
751 |
622 |
$4K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
70 |
70 |
$2K |
| 92201 |
|
258 |
250 |
$2K |
| 92083 |
|
46 |
45 |
$2K |
| V2020 |
Frames, purchases |
58 |
58 |
$1K |
| 92225 |
|
393 |
390 |
$1K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
26 |
26 |
$827.37 |
| 92136 |
|
12 |
12 |
$419.60 |