| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,057 |
20,913 |
$1.41M |
| 68761 |
|
11,931 |
6,612 |
$1.05M |
| 68040 |
|
23,926 |
14,706 |
$990K |
| 76512 |
|
17,682 |
10,219 |
$898K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,334 |
9,311 |
$886K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,911 |
8,903 |
$702K |
| 92083 |
|
14,523 |
14,478 |
$664K |
| 92250 |
|
14,430 |
14,368 |
$427K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,028 |
4,025 |
$422K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
5,642 |
5,526 |
$339K |
| 92100 |
|
5,082 |
5,043 |
$305K |
| 92286 |
|
8,958 |
8,957 |
$266K |
| 92273 |
|
1,952 |
1,952 |
$162K |
| 92020 |
|
7,736 |
7,720 |
$146K |
| 92133 |
|
4,481 |
4,478 |
$115K |
| 92025 |
|
3,863 |
3,843 |
$90K |
| 92285 |
|
4,513 |
4,486 |
$73K |
| 92202 |
|
6,270 |
6,257 |
$72K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,953 |
1,232 |
$68K |
| 65778 |
|
60 |
60 |
$52K |
| V2020 |
Frames, purchases |
1,378 |
1,370 |
$46K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
221 |
220 |
$42K |
| 92015 |
Determination of refractive state |
2,846 |
2,836 |
$39K |
| 92060 |
|
519 |
519 |
$23K |
| 68801 |
|
484 |
243 |
$22K |
| 76514 |
|
2,288 |
2,287 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
418 |
398 |
$17K |
| 92134 |
|
600 |
600 |
$16K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
441 |
437 |
$13K |
| 67820 |
|
561 |
366 |
$9K |
| 92002 |
|
24 |
24 |
$975.00 |
| 92082 |
|
13 |
13 |
$368.21 |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
16 |
15 |
$84.84 |
| V2755 |
U-v lens, per lens |
660 |
328 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
440 |
219 |
$0.00 |