| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,115 |
22,129 |
$1.87M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,605 |
19,329 |
$1.78M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
6,449 |
6,106 |
$859K |
| 92250 |
|
22,533 |
21,135 |
$794K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,503 |
6,272 |
$703K |
| 92083 |
|
9,075 |
8,403 |
$330K |
| 65778 |
|
215 |
149 |
$149K |
| V2020 |
Frames, purchases |
5,222 |
4,994 |
$146K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,405 |
3,189 |
$146K |
| 92133 |
|
3,543 |
3,252 |
$100K |
| 92015 |
Determination of refractive state |
10,023 |
9,668 |
$85K |
| 68761 |
|
969 |
881 |
$64K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,644 |
1,469 |
$59K |
| 92020 |
|
2,731 |
2,549 |
$52K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
5,259 |
4,941 |
$52K |
| 92134 |
|
1,482 |
1,357 |
$46K |
| 76514 |
|
2,987 |
2,811 |
$42K |
| 92273 |
|
341 |
321 |
$28K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
79 |
51 |
$21K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
5,175 |
4,845 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
315 |
290 |
$15K |
| 76519 |
|
355 |
306 |
$14K |
| V2300 |
Sphere, trifocal, plano to plus or minus 4.00d, per lens |
379 |
365 |
$12K |
| 92285 |
|
502 |
453 |
$10K |
| A4263 |
Permanent, long term, non-dissolvable lacrimal duct implant, each |
649 |
599 |
$9K |
| 92202 |
|
617 |
587 |
$7K |
| 67820 |
|
320 |
301 |
$6K |
| 99072 |
|
311 |
299 |
$5K |
| 92136 |
|
72 |
70 |
$3K |
| 92025 |
|
95 |
87 |
$2K |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
14 |
14 |
$2K |
| V2750 |
Anti-reflective coating, per lens |
3,490 |
3,300 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
55 |
51 |
$2K |
| 92201 |
|
75 |
68 |
$932.06 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
164 |
158 |
$666.24 |
| 95060 |
|
20 |
15 |
$456.48 |
| 92225 |
|
20 |
15 |
$398.62 |
| V2799 |
Vision item or service, miscellaneous |
783 |
734 |
$385.00 |
| 65855 |
|
16 |
13 |
$217.50 |
| V2744 |
Tint, photochromatic, per lens |
123 |
115 |
$108.00 |
| V2762 |
Polarization, any lens material, per lens |
186 |
181 |
$42.00 |