| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,901 |
6,666 |
$449K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,086 |
3,556 |
$359K |
| 92015 |
Determination of refractive state |
23,066 |
17,828 |
$227K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,680 |
2,258 |
$129K |
| 92060 |
|
2,539 |
2,273 |
$108K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,550 |
1,289 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
778 |
718 |
$45K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
127 |
97 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
385 |
360 |
$17K |
| 92136 |
|
1,027 |
707 |
$16K |
| 92083 |
|
258 |
167 |
$4K |
| 92133 |
|
208 |
181 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20 |
12 |
$1K |
| V2020 |
Frames, purchases |
12 |
12 |
$952.68 |
| 92134 |
|
17 |
17 |
$370.83 |
| 92250 |
|
13 |
12 |
$262.80 |