| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
4,082 |
2,714 |
$403K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,310 |
4,216 |
$63K |
| 92136 |
|
4,346 |
3,047 |
$38K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
570 |
559 |
$23K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
399 |
379 |
$21K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
594 |
569 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
630 |
472 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
475 |
364 |
$7K |
| 92015 |
Determination of refractive state |
1,446 |
1,303 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
266 |
208 |
$4K |
| 92134 |
|
527 |
339 |
$4K |
| V2020 |
Frames, purchases |
115 |
97 |
$3K |
| 76519 |
|
278 |
221 |
$2K |
| 92083 |
|
81 |
53 |
$1K |
| 92133 |
|
77 |
52 |
$1K |
| 92002 |
|
12 |
12 |
$620.04 |
| V2102 |
Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens |
14 |
14 |
$602.50 |
| 66821 |
|
16 |
13 |
$547.33 |
| 76514 |
|
42 |
29 |
$144.14 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
18 |
13 |
$0.00 |
| V2760 |
Scratch resistant coating, per lens |
18 |
13 |
$0.00 |