| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,436 |
23,366 |
$1.64M |
| 68761 |
|
16,093 |
8,577 |
$1.42M |
| 68040 |
|
27,812 |
16,652 |
$1.16M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12,894 |
12,811 |
$1.05M |
| 76512 |
|
19,066 |
10,823 |
$1.02M |
| 92083 |
|
16,193 |
16,167 |
$799K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,900 |
9,872 |
$685K |
| 92250 |
|
16,147 |
16,031 |
$531K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
7,265 |
7,148 |
$463K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,164 |
4,158 |
$433K |
| 92100 |
|
5,265 |
5,213 |
$341K |
| 92286 |
|
8,233 |
8,229 |
$246K |
| 92273 |
|
2,136 |
2,134 |
$190K |
| 92020 |
|
7,626 |
7,587 |
$155K |
| 92133 |
|
3,843 |
3,843 |
$106K |
| 92202 |
|
6,714 |
6,621 |
$83K |
| 92285 |
|
4,400 |
4,391 |
$82K |
| 92025 |
|
3,316 |
3,307 |
$82K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,022 |
1,663 |
$63K |
| 65778 |
|
54 |
54 |
$55K |
| V2020 |
Frames, purchases |
2,537 |
2,481 |
$51K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
232 |
232 |
$41K |
| 92060 |
|
757 |
756 |
$37K |
| 68801 |
|
617 |
292 |
$29K |
| 92015 |
Determination of refractive state |
2,246 |
2,235 |
$29K |
| 92226 |
|
1,459 |
813 |
$28K |
| 92134 |
|
836 |
836 |
$23K |
| 76514 |
|
2,076 |
2,075 |
$18K |
| 92225 |
|
612 |
327 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
274 |
271 |
$9K |
| 67820 |
|
484 |
301 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
156 |
156 |
$7K |
| 92002 |
|
35 |
35 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
186 |
93 |
$1K |
| 92082 |
|
29 |
29 |
$815.73 |
| 92201 |
|
50 |
49 |
$712.52 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
32 |
15 |
$57.16 |
| V2755 |
U-v lens, per lens |
1,372 |
677 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
718 |
355 |
$0.00 |