| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,104 |
1,053 |
$96K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,974 |
1,815 |
$88K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
975 |
902 |
$62K |
| 92134 |
|
2,643 |
2,418 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
933 |
902 |
$58K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
767 |
712 |
$44K |
| 92083 |
|
977 |
938 |
$36K |
| 92133 |
|
561 |
539 |
$14K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
170 |
146 |
$8K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
35 |
25 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
250 |
238 |
$5K |
| V2020 |
Frames, purchases |
275 |
252 |
$5K |
| 92020 |
|
245 |
239 |
$5K |
| 92082 |
|
142 |
141 |
$4K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
46 |
41 |
$3K |
| 92015 |
Determination of refractive state |
1,178 |
1,114 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
189 |
188 |
$2K |
| 92136 |
|
68 |
60 |
$2K |
| 92250 |
|
45 |
44 |
$839.45 |
| 99072 |
|
308 |
244 |
$64.68 |
| 99024 |
|
37 |
29 |
$0.00 |