| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0620 |
Routine ophthalmological examination including refraction; new patient |
8,386 |
6,179 |
$582K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
10,317 |
7,510 |
$582K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
1,999 |
1,101 |
$166K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,897 |
4,828 |
$85K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,771 |
3,127 |
$75K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,720 |
1,937 |
$43K |
| 92370 |
|
7,159 |
5,869 |
$36K |
| 92136 |
|
2,293 |
1,694 |
$27K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,140 |
1,019 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,084 |
743 |
$21K |
| 66982 |
|
165 |
91 |
$19K |
| 92341 |
|
503 |
419 |
$9K |
| 92015 |
Determination of refractive state |
1,694 |
1,080 |
$9K |
| 99199 |
Unlisted special service, procedure or report |
2,643 |
2,637 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
152 |
85 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
279 |
212 |
$6K |
| 0356T |
|
94 |
65 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
113 |
98 |
$2K |
| 92250 |
|
159 |
133 |
$1K |
| 92083 |
|
55 |
38 |
$942.21 |
| 92134 |
|
67 |
65 |
$759.61 |
| 68841 |
|
650 |
318 |
$463.74 |
| 92133 |
|
14 |
13 |
$302.96 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
191 |
103 |
$0.00 |
| 2023F |
|
80 |
74 |
$0.00 |
| V2020 |
Frames, purchases |
91 |
85 |
$0.00 |