| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,489 |
19,550 |
$726K |
| 92250 |
|
17,266 |
16,758 |
$466K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12,797 |
12,434 |
$465K |
| 92083 |
|
16,518 |
16,063 |
$357K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,656 |
7,450 |
$314K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
14,176 |
13,865 |
$294K |
| 92133 |
|
15,220 |
14,840 |
$198K |
| 92015 |
Determination of refractive state |
18,818 |
18,350 |
$176K |
| 95930 |
|
4,775 |
4,662 |
$156K |
| 92341 |
|
4,874 |
4,754 |
$123K |
| 92020 |
|
9,074 |
8,821 |
$88K |
| 92275 |
|
2,547 |
2,460 |
$80K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,684 |
1,583 |
$63K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,401 |
2,370 |
$63K |
| 92273 |
|
1,377 |
1,334 |
$39K |
| 76514 |
|
3,867 |
3,744 |
$28K |
| 76512 |
|
189 |
180 |
$12K |
| V2020 |
Frames, purchases |
479 |
478 |
$9K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
345 |
344 |
$8K |
| 0509T |
|
259 |
252 |
$4K |
| 92134 |
|
482 |
463 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
314 |
313 |
$3K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
35 |
35 |
$1K |
| 83861 |
|
803 |
386 |
$797.33 |
| 3072F |
|
4,433 |
4,262 |
$10.00 |
| 2026F |
|
291 |
289 |
$0.00 |
| 2023F |
|
23 |
23 |
$0.00 |