| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,763 |
3,605 |
$126K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,728 |
3,589 |
$90K |
| 92273 |
|
1,747 |
1,636 |
$62K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,050 |
2,043 |
$61K |
| V2020 |
Frames, purchases |
1,996 |
1,870 |
$38K |
| 99307 |
|
1,716 |
1,637 |
$23K |
| 92250 |
|
1,493 |
1,482 |
$21K |
| 65778 |
|
102 |
85 |
$9K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
318 |
316 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
589 |
560 |
$5K |
| 92002 |
|
18 |
18 |
$601.60 |
| 76514 |
|
128 |
128 |
$592.06 |
| 92133 |
|
82 |
76 |
$530.31 |
| 92015 |
Determination of refractive state |
91 |
89 |
$417.08 |
| 92285 |
|
15 |
15 |
$150.44 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,239 |
1,117 |
$46.84 |
| 92341 |
|
132 |
130 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
56 |
56 |
$0.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
64 |
64 |
$0.00 |