| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,457 |
3,173 |
$88K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,059 |
1,993 |
$82K |
| V2020 |
Frames, purchases |
1,125 |
1,066 |
$26K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
765 |
388 |
$21K |
| 92226 |
|
2,256 |
1,364 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
382 |
372 |
$17K |
| 92370 |
|
1,170 |
1,107 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
264 |
257 |
$12K |
| 92250 |
|
844 |
810 |
$11K |
| 92134 |
|
843 |
817 |
$11K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
384 |
346 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
338 |
325 |
$10K |
| 92015 |
Determination of refractive state |
2,167 |
1,565 |
$7K |
| 92133 |
|
585 |
568 |
$7K |
| 92201 |
|
656 |
619 |
$6K |
| 92083 |
|
202 |
193 |
$5K |
| 76519 |
|
222 |
184 |
$4K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
30 |
26 |
$4K |
| 92202 |
|
604 |
581 |
$4K |
| 92225 |
|
122 |
79 |
$1K |
| 92020 |
|
84 |
79 |
$699.84 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
41 |
24 |
$394.23 |
| 83861 |
|
21 |
13 |
$179.80 |