| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13,147 |
12,595 |
$1.61M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12,804 |
12,158 |
$1.30M |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
8,156 |
7,619 |
$582K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
3,334 |
3,289 |
$576K |
| 92060 |
|
10,807 |
10,414 |
$570K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
2,823 |
2,649 |
$491K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
2,958 |
2,895 |
$422K |
| 92015 |
Determination of refractive state |
27,631 |
26,389 |
$378K |
| 99243 |
|
2,536 |
2,518 |
$258K |
| V2025 |
Deluxe frame |
5,412 |
5,265 |
$209K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
8,161 |
7,918 |
$161K |
| 92285 |
|
9,443 |
8,829 |
$145K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,084 |
1,965 |
$145K |
| 93320 |
|
2,825 |
2,649 |
$114K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
6,104 |
5,959 |
$98K |
| V2020 |
Frames, purchases |
2,632 |
2,582 |
$68K |
| 93325 |
|
3,237 |
2,981 |
$59K |
| 92133 |
|
1,636 |
1,533 |
$58K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,136 |
1,101 |
$55K |
| 92250 |
|
875 |
840 |
$51K |
| 93000 |
|
3,954 |
3,895 |
$51K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
846 |
459 |
$46K |
| 92201 |
|
2,265 |
1,011 |
$38K |
| V2750 |
Anti-reflective coating, per lens |
1,920 |
1,855 |
$25K |
| V2799 |
Vision item or service, miscellaneous |
2,107 |
1,908 |
$24K |
| 76825 |
|
101 |
82 |
$20K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
632 |
627 |
$19K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,513 |
1,438 |
$18K |
| 99254 |
|
119 |
115 |
$16K |
| 92083 |
|
235 |
228 |
$13K |
| 92202 |
|
1,085 |
757 |
$12K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
902 |
881 |
$11K |
| 92134 |
|
223 |
196 |
$8K |
| 93227 |
|
451 |
422 |
$8K |
| 76827 |
|
101 |
82 |
$6K |
| 93225 |
|
358 |
333 |
$6K |
| V2744 |
Tint, photochromatic, per lens |
210 |
204 |
$5K |
| 92002 |
|
50 |
40 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
13 |
$2K |
| 76514 |
|
193 |
178 |
$2K |
| 93272 |
|
62 |
60 |
$1K |
| 99072 |
|
1,333 |
1,277 |
$2.25 |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
390 |
383 |
$0.00 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
642 |
636 |
$0.00 |