| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,815 |
5,654 |
$276K |
| 92015 |
Determination of refractive state |
8,604 |
8,327 |
$109K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,413 |
3,013 |
$105K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,350 |
1,305 |
$100K |
| 83861 |
|
1,177 |
1,102 |
$27K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
63 |
49 |
$16K |
| 92134 |
|
781 |
757 |
$15K |
| 92133 |
|
712 |
674 |
$14K |
| 99072 |
|
584 |
549 |
$9K |
| 92083 |
|
157 |
152 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
38 |
$3K |
| 92136 |
|
116 |
111 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
605 |
605 |
$89.94 |
| V2025 |
Deluxe frame |
900 |
898 |
$0.00 |
| S9999 |
Sales tax |
54 |
51 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
82 |
82 |
$0.00 |
| V2760 |
Scratch resistant coating, per lens |
26 |
26 |
$0.00 |
| V2755 |
U-v lens, per lens |
83 |
83 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
84 |
84 |
$0.00 |