| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,808 |
1,795 |
$111K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,787 |
2,733 |
$86K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,779 |
1,762 |
$81K |
| 92250 |
|
1,708 |
1,703 |
$66K |
| 92083 |
|
1,612 |
1,605 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,332 |
2,204 |
$62K |
| 92286 |
|
554 |
553 |
$33K |
| 68040 |
|
1,125 |
584 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
350 |
342 |
$13K |
| 68761 |
|
248 |
131 |
$12K |
| V2020 |
Frames, purchases |
383 |
379 |
$8K |
| 92025 |
|
1,157 |
1,154 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
285 |
281 |
$7K |
| 92133 |
|
363 |
360 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
234 |
215 |
$4K |
| 92285 |
|
56 |
54 |
$4K |
| 76512 |
|
61 |
31 |
$3K |
| 92002 |
|
58 |
57 |
$2K |
| 92015 |
Determination of refractive state |
173 |
172 |
$1K |
| 92020 |
|
73 |
72 |
$845.11 |
| 92202 |
|
41 |
41 |
$341.98 |
| 67820 |
|
25 |
25 |
$338.58 |
| 76514 |
|
45 |
45 |
$282.63 |
| 65210 |
|
13 |
12 |
$271.79 |
| 92225 |
|
31 |
30 |
$172.46 |
| 92273 |
|
24 |
24 |
$127.36 |