| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92285 |
|
1,668 |
1,607 |
$113K |
| 92250 |
|
1,368 |
1,353 |
$54K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
939 |
927 |
$52K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
869 |
862 |
$21K |
| V2020 |
Frames, purchases |
997 |
990 |
$20K |
| 92083 |
|
255 |
252 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
213 |
205 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
95 |
93 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
47 |
47 |
$390.00 |
| 92015 |
Determination of refractive state |
1,008 |
984 |
$0.00 |