| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
8,903 |
6,421 |
$51K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,267 |
4,764 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,299 |
994 |
$12K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
258 |
189 |
$7K |
| 68761 |
|
3,444 |
1,351 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
219 |
181 |
$3K |
| 92083 |
|
1,715 |
1,309 |
$2K |
| 92134 |
|
2,291 |
1,688 |
$1K |
| 92136 |
|
144 |
128 |
$570.55 |
| 92133 |
|
962 |
780 |
$365.25 |
| 67028 |
Intravitreal injection of a pharmacologic agent |
412 |
289 |
$276.31 |
| 92285 |
|
295 |
262 |
$266.13 |
| V2020 |
Frames, purchases |
30 |
26 |
$237.27 |
| 92250 |
|
407 |
337 |
$188.72 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46 |
28 |
$72.92 |
| 66821 |
|
93 |
67 |
$67.69 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
26 |
13 |
$14.00 |
| 99024 |
|
16 |
13 |
$0.00 |
| V2755 |
U-v lens, per lens |
64 |
27 |
$0.00 |
| V2780 |
Oversize lens, per lens |
64 |
27 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
64 |
27 |
$0.00 |
| 92020 |
|
31 |
30 |
$0.00 |
| 92081 |
|
45 |
41 |
$0.00 |
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
28 |
12 |
$0.00 |