| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
615 |
555 |
$480K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,585 |
7,452 |
$249K |
| 92250 |
|
7,616 |
6,848 |
$241K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
5,495 |
5,218 |
$199K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,040 |
2,026 |
$153K |
| 92226 |
|
2,888 |
1,484 |
$58K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,107 |
1,102 |
$50K |
| 92225 |
|
1,199 |
616 |
$35K |
| 92133 |
|
1,083 |
953 |
$29K |
| 92202 |
|
1,415 |
1,401 |
$25K |
| 92136 |
|
406 |
404 |
$20K |
| 92083 |
|
554 |
554 |
$16K |
| 92015 |
Determination of refractive state |
2,408 |
2,408 |
$10K |
| V2020 |
Frames, purchases |
361 |
356 |
$7K |
| 92341 |
|
220 |
220 |
$6K |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
64 |
60 |
$1K |
| 66821 |
|
15 |
12 |
$1K |
| 92201 |
|
59 |
54 |
$992.27 |
| 99349 |
|
12 |
12 |
$0.00 |