| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
250 |
247 |
$31K |
| V2020 |
Frames, purchases |
221 |
218 |
$15K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
118 |
117 |
$12K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
333 |
182 |
$12K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
37 |
30 |
$7K |
| 92015 |
Determination of refractive state |
570 |
557 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
54 |
53 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
146 |
74 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
74 |
63 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19 |
19 |
$1K |
| 92136 |
|
28 |
28 |
$925.41 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$881.14 |