| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
279 |
209 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
18 |
18 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
107 |
54 |
$1K |
| V2020 |
Frames, purchases |
31 |
31 |
$803.92 |
| V2799 |
Vision item or service, miscellaneous |
31 |
31 |
$400.14 |
| 92136 |
|
54 |
41 |
$74.19 |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
29 |
25 |
$20.61 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
17 |
14 |
$2.88 |