| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,817 |
5,811 |
$473K |
| 68761 |
|
4,614 |
2,402 |
$387K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,397 |
3,392 |
$334K |
| 76512 |
|
6,098 |
3,193 |
$329K |
| 92083 |
|
5,563 |
5,541 |
$277K |
| 92286 |
|
3,932 |
3,928 |
$224K |
| 92250 |
|
5,651 |
5,639 |
$221K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,160 |
2,157 |
$210K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,829 |
2,808 |
$186K |
| 68040 |
|
4,246 |
2,782 |
$182K |
| 92273 |
|
1,389 |
1,389 |
$133K |
| 92285 |
|
2,006 |
1,996 |
$78K |
| 92100 |
|
1,201 |
1,201 |
$75K |
| 92020 |
|
2,601 |
2,601 |
$49K |
| 92202 |
|
2,484 |
2,484 |
$40K |
| 92133 |
|
1,032 |
1,032 |
$32K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,422 |
793 |
$29K |
| 92025 |
|
1,402 |
1,393 |
$27K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
508 |
477 |
$25K |
| V2020 |
Frames, purchases |
934 |
930 |
$19K |
| 92002 |
|
312 |
312 |
$13K |
| 92015 |
Determination of refractive state |
1,085 |
1,067 |
$12K |
| 76514 |
|
683 |
683 |
$6K |
| 92134 |
|
193 |
193 |
$6K |
| 92060 |
|
73 |
73 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
61 |
61 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
216 |
110 |
$94.00 |
| V2755 |
U-v lens, per lens |
278 |
137 |
$0.00 |