| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92083 |
|
1,574 |
1,558 |
$80K |
| 92100 |
|
1,326 |
1,317 |
$72K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
927 |
918 |
$66K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,307 |
1,265 |
$56K |
| 76513 |
|
473 |
343 |
$44K |
| 92226 |
|
1,784 |
1,313 |
$38K |
| 92133 |
|
1,155 |
1,141 |
$35K |
| 92060 |
|
636 |
625 |
$23K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
214 |
210 |
$18K |
| 92250 |
|
484 |
473 |
$16K |
| 92225 |
|
213 |
173 |
$6K |
| 92202 |
|
554 |
518 |
$5K |
| 76512 |
|
60 |
40 |
$3K |
| 76514 |
|
334 |
334 |
$3K |
| 92134 |
|
85 |
85 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40 |
40 |
$1K |
| V2020 |
Frames, purchases |
16 |
16 |
$154.65 |
| 92015 |
Determination of refractive state |
30 |
27 |
$23.29 |