| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
784 |
784 |
$45K |
| 92285 |
|
706 |
706 |
$43K |
| 92250 |
|
826 |
826 |
$36K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
145 |
145 |
$3K |
| 92060 |
|
94 |
94 |
$3K |
| V2020 |
Frames, purchases |
118 |
118 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
54 |
54 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
39 |
39 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
29 |
26 |
$1K |