| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,615 |
4,587 |
$199K |
| 92083 |
|
8,235 |
8,176 |
$176K |
| 92020 |
|
11,072 |
10,969 |
$129K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,495 |
3,459 |
$122K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,421 |
3,377 |
$110K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,549 |
1,534 |
$85K |
| 92133 |
|
6,087 |
6,040 |
$80K |
| 92134 |
|
4,837 |
4,797 |
$61K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,672 |
3,591 |
$57K |
| 66761 |
|
554 |
521 |
$49K |
| 92250 |
|
3,137 |
3,123 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
990 |
986 |
$44K |
| 92226 |
|
2,895 |
2,601 |
$42K |
| 92202 |
|
6,091 |
6,043 |
$35K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
196 |
194 |
$25K |
| 76514 |
|
6,244 |
6,193 |
$23K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
763 |
746 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
215 |
215 |
$13K |
| 92225 |
|
838 |
752 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
107 |
106 |
$8K |
| 92002 |
|
210 |
204 |
$8K |
| 92201 |
|
467 |
441 |
$6K |
| 92015 |
Determination of refractive state |
801 |
793 |
$6K |
| 92286 |
|
370 |
362 |
$3K |
| 76519 |
|
199 |
198 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
126 |
120 |
$2K |
| 68840 |
|
13 |
13 |
$777.12 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
15 |
13 |
$215.50 |
| V2020 |
Frames, purchases |
17 |
15 |
$205.50 |
| 2023F |
|
1,083 |
1,076 |
$152.29 |
| 76512 |
|
18 |
12 |
$139.84 |
| 2024F |
|
31 |
31 |
$1.70 |
| 2022F |
|
553 |
550 |
$0.00 |
| 3072F |
|
13 |
13 |
$0.00 |