| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
239 |
231 |
$16K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
112 |
108 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
270 |
228 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
97 |
94 |
$3K |
| 92015 |
Determination of refractive state |
709 |
612 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
88 |
84 |
$755.93 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
65 |
65 |
$287.10 |
| 99310 |
Prolong nursin fac eval 15m |
61 |
54 |
$128.15 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$0.00 |
| 2022F |
|
14 |
12 |
$0.00 |