| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
9,767 |
9,448 |
$329K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,611 |
5,154 |
$197K |
| 76513 |
|
2,526 |
1,739 |
$145K |
| 92134 |
|
2,860 |
2,614 |
$46K |
| 92133 |
|
2,003 |
1,919 |
$32K |
| V5130 |
Binaural, in the ear |
34 |
34 |
$28K |
| 92083 |
|
1,067 |
1,046 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
450 |
437 |
$21K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
49 |
49 |
$18K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
9,294 |
9,149 |
$17K |
| 65855 |
|
55 |
53 |
$16K |
| 92136 |
|
1,106 |
704 |
$16K |
| 92226 |
|
1,331 |
678 |
$15K |
| 92285 |
|
6,157 |
5,827 |
$13K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
990 |
919 |
$10K |
| V5160 |
Dispensing fee, binaural |
27 |
27 |
$9K |
| 92286 |
|
741 |
680 |
$6K |
| 76512 |
|
549 |
509 |
$6K |
| 92225 |
|
493 |
253 |
$5K |
| 76514 |
|
290 |
289 |
$3K |
| 92202 |
|
844 |
772 |
$3K |
| 92201 |
|
367 |
347 |
$2K |
| 66761 |
|
19 |
13 |
$2K |
| 0509T |
|
28 |
28 |
$1K |
| 92020 |
|
134 |
134 |
$738.84 |
| 92025 |
|
119 |
111 |
$663.02 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,758 |
2,707 |
$579.24 |
| 92015 |
Determination of refractive state |
8,215 |
8,009 |
$461.00 |
| 92275 |
|
12 |
12 |
$328.00 |
| V2750 |
Anti-reflective coating, per lens |
1,810 |
871 |
$0.00 |
| V2020 |
Frames, purchases |
7,197 |
6,985 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
14 |
14 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
53 |
53 |
$0.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
1,764 |
866 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
6,215 |
3,020 |
$0.00 |
| G8397 |
Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy |
715 |
709 |
$0.00 |
| V2781 |
Progressive lens, per lens |
626 |
302 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
10,281 |
5,001 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
1,008 |
491 |
$0.00 |
| V2299 |
Specialty bifocal (by report) |
598 |
293 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
38 |
37 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
126 |
62 |
$0.00 |
| 1036F |
|
38 |
37 |
$0.00 |