| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,915 |
6,399 |
$550K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,321 |
3,161 |
$396K |
| 92250 |
|
15,385 |
14,478 |
$322K |
| 68761 |
|
3,755 |
3,129 |
$231K |
| 92134 |
|
10,061 |
9,485 |
$226K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,166 |
3,593 |
$191K |
| 92060 |
|
3,597 |
3,466 |
$181K |
| 92136 |
|
6,210 |
5,570 |
$178K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,341 |
5,100 |
$170K |
| 92273 |
|
3,697 |
3,475 |
$100K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,898 |
4,359 |
$93K |
| 93890 |
|
671 |
582 |
$50K |
| 92015 |
Determination of refractive state |
4,305 |
4,037 |
$47K |
| 76512 |
|
659 |
409 |
$26K |
| 92201 |
|
3,410 |
3,166 |
$24K |
| 92275 |
|
170 |
162 |
$20K |
| 92083 |
|
749 |
696 |
$19K |
| 99443 |
|
629 |
533 |
$19K |
| 92020 |
|
1,766 |
1,664 |
$16K |
| 92133 |
|
1,138 |
1,083 |
$14K |
| 83861 |
|
3,948 |
3,787 |
$12K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
470 |
459 |
$9K |
| V2020 |
Frames, purchases |
647 |
628 |
$8K |
| 92285 |
|
256 |
249 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
238 |
232 |
$6K |
| 93892 |
|
672 |
581 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
512 |
494 |
$3K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
95 |
91 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
47 |
44 |
$930.56 |
| 92225 |
|
3,894 |
1,898 |
$368.48 |
| 92226 |
|
408 |
203 |
$294.41 |
| 93886 |
|
665 |
582 |
$93.84 |
| 92025 |
|
41 |
36 |
$12.06 |
| V2750 |
Anti-reflective coating, per lens |
58 |
55 |
$0.00 |
| 0509T |
|
74 |
73 |
$0.00 |
| 66821 |
|
14 |
13 |
$0.00 |
| 67820 |
|
12 |
12 |
$0.00 |