| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,656 |
3,557 |
$217K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
876 |
742 |
$72K |
| 92235 |
|
1,194 |
930 |
$50K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,442 |
1,033 |
$50K |
| 92100 |
|
816 |
627 |
$49K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
179 |
122 |
$39K |
| 92083 |
|
1,999 |
1,578 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
468 |
384 |
$23K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
288 |
261 |
$20K |
| 92250 |
|
2,176 |
1,679 |
$15K |
| 92273 |
|
342 |
220 |
$14K |
| 92134 |
|
1,427 |
1,059 |
$9K |
| 65855 |
|
90 |
52 |
$5K |
| 66821 |
|
40 |
26 |
$4K |
| 92285 |
|
1,087 |
762 |
$3K |
| 68761 |
|
52 |
12 |
$2K |
| V2020 |
Frames, purchases |
134 |
128 |
$2K |
| 92136 |
|
50 |
26 |
$1K |
| 92133 |
|
1,107 |
899 |
$937.56 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
26 |
$840.80 |
| 92274 |
|
13 |
12 |
$825.95 |
| 92015 |
Determination of refractive state |
905 |
839 |
$726.06 |
| 92020 |
|
368 |
297 |
$308.03 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
12 |
12 |
$259.32 |
| 2027F |
|
487 |
351 |
$171.08 |
| 95930 |
|
16 |
12 |
$118.38 |
| 92025 |
|
22 |
13 |
$114.90 |
| 92342 |
|
16 |
16 |
$104.36 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
13 |
13 |
$64.36 |
| V2750 |
Anti-reflective coating, per lens |
18 |
17 |
$0.00 |
| 76514 |
|
16 |
12 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
23 |
23 |
$0.00 |