| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,493 |
2,209 |
$47K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
473 |
438 |
$33K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
307 |
174 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,565 |
1,175 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,352 |
966 |
$16K |
| 92015 |
Determination of refractive state |
895 |
785 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
482 |
389 |
$14K |
| 92250 |
|
573 |
534 |
$13K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
248 |
222 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
576 |
476 |
$6K |
| V2020 |
Frames, purchases |
453 |
405 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
165 |
150 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
124 |
111 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
51 |
39 |
$2K |
| 92133 |
|
141 |
118 |
$2K |
| 92136 |
|
102 |
53 |
$1K |
| 92134 |
|
88 |
75 |
$670.56 |
| 92083 |
|
69 |
51 |
$669.52 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
101 |
76 |
$195.27 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
22 |
13 |
$145.50 |