| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2205 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
1,034 |
1,021 |
$36K |
| V2025 |
Deluxe frame |
1,034 |
1,021 |
$31K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
148 |
144 |
$12K |
| 99336 |
|
156 |
143 |
$11K |
| 92015 |
Determination of refractive state |
862 |
789 |
$8K |
| 99349 |
|
122 |
99 |
$7K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
188 |
172 |
$7K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
30 |
25 |
$740.40 |
| 3072F |
|
13 |
13 |
$0.00 |