| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,647 |
4,225 |
$263K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,538 |
1,452 |
$124K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,989 |
1,771 |
$63K |
| 92083 |
|
1,825 |
1,698 |
$58K |
| 99205 |
Prolong outpt/office vis |
297 |
266 |
$38K |
| 92133 |
|
1,539 |
1,445 |
$34K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
342 |
301 |
$28K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
150 |
90 |
$22K |
| 92136 |
|
1,455 |
822 |
$21K |
| 92015 |
Determination of refractive state |
1,519 |
1,370 |
$21K |
| V2020 |
Frames, purchases |
578 |
524 |
$13K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
496 |
247 |
$13K |
| 99215 |
Prolong outpt/office vis |
83 |
77 |
$6K |
| V2755 |
U-v lens, per lens |
487 |
214 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
19 |
18 |
$2K |
| 92134 |
|
53 |
51 |
$854.97 |
| 76514 |
|
56 |
53 |
$431.64 |
| 68841 |
|
32 |
15 |
$164.08 |