| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,013 |
3,999 |
$581K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,941 |
3,938 |
$516K |
| 92083 |
|
6,941 |
6,934 |
$465K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,959 |
3,739 |
$364K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,111 |
3,056 |
$286K |
| 92133 |
|
7,173 |
7,168 |
$264K |
| 92020 |
|
6,685 |
6,620 |
$190K |
| 66761 |
|
135 |
87 |
$43K |
| 92134 |
|
615 |
613 |
$26K |
| 76514 |
|
2,409 |
2,406 |
$25K |
| 92250 |
|
433 |
432 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
144 |
144 |
$17K |
| 92132 |
|
426 |
426 |
$13K |
| 99051 |
|
1,959 |
1,877 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
419 |
417 |
$10K |
| V2020 |
Frames, purchases |
419 |
417 |
$8K |
| 67820 |
|
157 |
141 |
$5K |
| 92082 |
|
12 |
12 |
$611.16 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
39 |
39 |
$580.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
46 |
46 |
$258.00 |
| 99072 |
|
182 |
157 |
$105.00 |
| 2022F |
|
756 |
756 |
$0.00 |