| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
16,098 |
15,826 |
$1.20M |
| 76512 |
|
18,667 |
10,119 |
$1.03M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,749 |
11,742 |
$821K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13,495 |
13,290 |
$805K |
| 92083 |
|
14,651 |
14,490 |
$769K |
| 68761 |
|
6,646 |
3,941 |
$751K |
| 68040 |
|
10,393 |
8,617 |
$662K |
| 92250 |
|
14,262 |
14,119 |
$552K |
| 92100 |
|
6,095 |
6,029 |
$394K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,591 |
2,590 |
$253K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,682 |
1,680 |
$201K |
| 92226 |
|
11,987 |
5,884 |
$198K |
| 92286 |
|
5,304 |
5,299 |
$170K |
| 92020 |
|
8,386 |
8,316 |
$162K |
| 92133 |
|
5,240 |
5,186 |
$156K |
| 92273 |
|
1,142 |
1,142 |
$89K |
| 92285 |
|
3,392 |
3,379 |
$60K |
| 92202 |
|
3,632 |
3,369 |
$49K |
| 68801 |
|
547 |
293 |
$46K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
189 |
189 |
$41K |
| 92134 |
|
1,162 |
1,162 |
$36K |
| 92225 |
|
1,429 |
713 |
$29K |
| 92060 |
|
605 |
597 |
$25K |
| 76514 |
|
2,062 |
2,060 |
$14K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,481 |
681 |
$10K |
| 67820 |
|
253 |
221 |
$6K |
| V2020 |
Frames, purchases |
1,016 |
936 |
$5K |
| 92082 |
|
79 |
79 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$730.24 |
| 92025 |
|
33 |
33 |
$365.04 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
54 |
24 |
$342.96 |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
12 |
12 |
$240.00 |
| 92201 |
|
55 |
45 |
$199.35 |
| V2755 |
U-v lens, per lens |
98 |
48 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
338 |
161 |
$0.00 |