| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92083 |
|
5,469 |
5,468 |
$337K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,210 |
2,210 |
$258K |
| 92020 |
|
7,958 |
7,955 |
$210K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,337 |
2,329 |
$207K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,398 |
1,396 |
$176K |
| 92133 |
|
4,844 |
4,840 |
$167K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,870 |
1,855 |
$146K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,727 |
2,701 |
$128K |
| 92226 |
|
3,276 |
2,072 |
$98K |
| 66761 |
|
329 |
297 |
$98K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,064 |
1,062 |
$80K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
565 |
565 |
$74K |
| 92134 |
|
1,615 |
1,615 |
$62K |
| 76514 |
|
5,061 |
5,052 |
$51K |
| 92225 |
|
1,387 |
886 |
$46K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
366 |
366 |
$45K |
| 92202 |
|
2,976 |
2,941 |
$43K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
231 |
231 |
$34K |
| 92002 |
|
482 |
482 |
$31K |
| 92250 |
|
773 |
773 |
$27K |
| 92015 |
Determination of refractive state |
3,100 |
3,072 |
$25K |
| 92201 |
|
633 |
568 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
260 |
242 |
$6K |
| 99201 |
|
101 |
101 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
283 |
142 |
$3K |
| V2020 |
Frames, purchases |
134 |
134 |
$775.38 |
| 2023F |
|
529 |
527 |
$366.54 |
| 2022F |
|
467 |
467 |
$0.25 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
32 |
16 |
$0.00 |