| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
112 |
96 |
$30K |
| V2020 |
Frames, purchases |
554 |
490 |
$12K |
| 92002 |
|
136 |
123 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
104 |
91 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
241 |
209 |
$5K |
| 92015 |
Determination of refractive state |
672 |
594 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
63 |
62 |
$3K |
| 76519 |
|
24 |
14 |
$526.14 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
13 |
13 |
$490.10 |
| 92136 |
|
18 |
15 |
$222.04 |