| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,934 |
2,672 |
$133K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,345 |
2,064 |
$88K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
954 |
904 |
$50K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
276 |
276 |
$16K |
| 92134 |
|
753 |
664 |
$15K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
238 |
227 |
$14K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
213 |
194 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
157 |
144 |
$9K |
| V2020 |
Frames, purchases |
334 |
334 |
$4K |
| 92015 |
Determination of refractive state |
260 |
232 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40 |
39 |
$2K |
| 92133 |
|
64 |
56 |
$2K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
35 |
25 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
14 |
14 |
$812.98 |
| 92083 |
|
15 |
12 |
$632.84 |