| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,152 |
3,143 |
$113K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
559 |
555 |
$33K |
| 92250 |
|
522 |
515 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
147 |
143 |
$7K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
44 |
38 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
200 |
197 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
87 |
83 |
$3K |
| 92136 |
|
121 |
116 |
$2K |
| 92083 |
|
76 |
76 |
$2K |
| V2020 |
Frames, purchases |
68 |
66 |
$2K |
| 92015 |
Determination of refractive state |
1,053 |
1,047 |
$1K |
| 92133 |
|
41 |
40 |
$736.72 |
| 92134 |
|
28 |
25 |
$605.25 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
26 |
26 |
$168.00 |