| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
274 |
272 |
$22K |
| 92250 |
|
284 |
283 |
$15K |
| 92015 |
Determination of refractive state |
725 |
719 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
98 |
97 |
$3K |
| 92002 |
|
41 |
39 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
23 |
22 |
$2K |
| V2020 |
Frames, purchases |
26 |
26 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$996.57 |