| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
2,534 |
2,503 |
$44K |
| V2020 |
Frames, purchases |
128 |
128 |
$9K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
240 |
236 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45 |
42 |
$875.25 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
13 |
$667.07 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$359.16 |
| 92133 |
|
14 |
12 |
$258.42 |
| 4010F |
|
13 |
13 |
$0.01 |
| 3061F |
|
46 |
45 |
$0.00 |