| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
4,946 |
4,771 |
$601K |
| 92060 |
|
8,439 |
7,897 |
$370K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,042 |
3,862 |
$298K |
| 92015 |
Determination of refractive state |
7,978 |
7,596 |
$103K |
| 92225 |
|
2,954 |
1,399 |
$80K |
| 99245 |
|
371 |
367 |
$56K |
| 92202 |
|
3,447 |
2,695 |
$45K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
422 |
412 |
$29K |
| 92083 |
|
466 |
451 |
$27K |
| V2020 |
Frames, purchases |
406 |
395 |
$26K |
| 92226 |
|
836 |
380 |
$22K |
| 99255 |
|
133 |
113 |
$16K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
187 |
186 |
$11K |
| 92201 |
|
511 |
201 |
$10K |
| 92285 |
|
204 |
183 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
28 |
27 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
14 |
12 |
$803.26 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
14 |
14 |
$664.90 |
| S9999 |
Sales tax |
442 |
424 |
$91.11 |