| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,993 |
1,932 |
$94K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
204 |
202 |
$13K |
| 92015 |
Determination of refractive state |
794 |
778 |
$10K |
| 92134 |
|
415 |
318 |
$6K |
| 92133 |
|
101 |
80 |
$2K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
46 |
37 |
$2K |
| 83861 |
|
181 |
93 |
$2K |
| 68761 |
|
26 |
14 |
$1K |
| 92250 |
|
40 |
39 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
26 |
20 |
$704.75 |
| 92083 |
|
20 |
16 |
$446.31 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
15 |
13 |
$347.93 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$141.47 |
| 76514 |
|
18 |
13 |
$102.36 |
| V2020 |
Frames, purchases |
16 |
13 |
$0.00 |