| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
25,786 |
25,678 |
$260K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
10,076 |
10,042 |
$76K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
285 |
226 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,772 |
1,695 |
$55K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,837 |
1,777 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,286 |
1,243 |
$39K |
| 92015 |
Determination of refractive state |
12,150 |
12,088 |
$20K |
| 92134 |
|
1,991 |
1,980 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
261 |
258 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
705 |
703 |
$14K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
214 |
205 |
$9K |
| 92133 |
|
316 |
311 |
$5K |
| 92083 |
|
286 |
283 |
$4K |
| 92250 |
|
104 |
103 |
$4K |
| 92136 |
|
212 |
143 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
38 |
$2K |
| V2020 |
Frames, purchases |
20,618 |
20,405 |
$2K |
| 92060 |
|
56 |
56 |
$1K |
| 92020 |
|
136 |
132 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
20,865 |
10,500 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
11,506 |
5,790 |
$786.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$281.88 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
11,291 |
5,694 |
$148.00 |
| V2599 |
Contact lens, other type |
27 |
27 |
$100.00 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,049 |
1,038 |
$54.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
1,284 |
642 |
$52.00 |
| V2744 |
Tint, photochromatic, per lens |
3,157 |
1,573 |
$0.00 |
| 2023F |
|
681 |
666 |
$0.00 |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
269 |
269 |
$0.00 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
578 |
298 |
$0.00 |
| V2299 |
Specialty bifocal (by report) |
1,198 |
595 |
$0.00 |
| V2781 |
Progressive lens, per lens |
1,422 |
707 |
$0.00 |
| S0500 |
Disposable contact lens, per lens |
14 |
14 |
$0.00 |
| V2760 |
Scratch resistant coating, per lens |
4,422 |
2,237 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
6,948 |
3,441 |
$0.00 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
570 |
282 |
$0.00 |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
604 |
604 |
$0.00 |