| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,545 |
2,682 |
$136K |
| V5060 |
Hearing aid, monaural, behind the ear |
211 |
197 |
$86K |
| 92015 |
Determination of refractive state |
5,350 |
3,380 |
$46K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,093 |
828 |
$43K |
| V5241 |
Dispensing fee, monaural hearing aid, any type |
215 |
200 |
$38K |
| 92553 |
|
1,395 |
1,381 |
$32K |
| V2020 |
Frames, purchases |
1,913 |
1,445 |
$27K |
| 92557 |
|
1,835 |
1,380 |
$17K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,001 |
744 |
$12K |
| 92002 |
|
204 |
147 |
$6K |
| V5257 |
Hearing aid, digital, monaural, bte |
17 |
15 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
328 |
265 |
$6K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
117 |
71 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
31 |
25 |
$2K |
| 92551 |
|
61 |
58 |
$469.22 |