| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
814 |
810 |
$72K |
| 92250 |
|
639 |
628 |
$32K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
640 |
634 |
$27K |
| 92082 |
|
524 |
516 |
$18K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
580 |
578 |
$7K |
| 92015 |
Determination of refractive state |
620 |
611 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
29 |
28 |
$2K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
53 |
53 |
$2K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
12 |
12 |
$360.00 |