| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14,715 |
11,263 |
$103K |
| V2799 |
Vision item or service, miscellaneous |
281 |
281 |
$35K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,729 |
2,833 |
$23K |
| 99334 |
|
116 |
114 |
$4K |
| 68761 |
|
510 |
188 |
$4K |
| V2025 |
Deluxe frame |
301 |
300 |
$632.56 |
| 92015 |
Determination of refractive state |
48 |
45 |
$544.29 |
| V2020 |
Frames, purchases |
18 |
18 |
$270.00 |
| 92020 |
|
1,040 |
744 |
$114.10 |
| 92285 |
|
129 |
92 |
$0.00 |
| 92250 |
|
57 |
45 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
76 |
74 |
$0.00 |