| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,844 |
1,647 |
$103K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
970 |
865 |
$77K |
| V2020 |
Frames, purchases |
1,924 |
1,837 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,093 |
934 |
$47K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,626 |
1,556 |
$44K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
549 |
468 |
$39K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,437 |
1,333 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,225 |
939 |
$28K |
| 92015 |
Determination of refractive state |
5,559 |
4,815 |
$28K |
| 92250 |
|
626 |
551 |
$20K |
| 92134 |
|
1,316 |
930 |
$19K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
60 |
38 |
$18K |
| 92201 |
|
1,136 |
824 |
$12K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
178 |
88 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,172 |
1,126 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
49 |
41 |
$3K |
| V2760 |
Scratch resistant coating, per lens |
1,364 |
1,304 |
$2K |
| 92226 |
|
157 |
65 |
$2K |
| 92136 |
|
35 |
12 |
$460.25 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
24 |
15 |
$85.36 |
| 888888 |
|
210 |
188 |
$0.00 |
| 99199 |
Unlisted special service, procedure or report |
28 |
27 |
$0.00 |
| 99072 |
|
109 |
68 |
$0.00 |