| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
5,593 |
4,930 |
$571K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,159 |
2,889 |
$209K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,533 |
4,010 |
$199K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
12,136 |
11,048 |
$199K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,806 |
2,438 |
$110K |
| 92250 |
|
4,428 |
3,807 |
$108K |
| 92015 |
Determination of refractive state |
12,651 |
11,189 |
$89K |
| 92083 |
|
3,338 |
2,985 |
$84K |
| 92020 |
|
4,786 |
3,953 |
$49K |
| 92273 |
|
883 |
823 |
$44K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,096 |
2,850 |
$29K |
| 92134 |
|
1,929 |
1,767 |
$24K |
| 92133 |
|
768 |
715 |
$13K |
| 95930 |
|
108 |
84 |
$5K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
12 |
12 |
$4K |
| V2020 |
Frames, purchases |
37 |
32 |
$2K |
| 92275 |
|
225 |
181 |
$2K |
| 76519 |
|
73 |
65 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
13 |
13 |
$1K |
| 76514 |
|
48 |
41 |
$128.00 |
| 0509T |
|
25 |
18 |
$0.00 |