| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0620 |
Routine ophthalmological examination including refraction; new patient |
2,453 |
2,451 |
$111K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
225 |
208 |
$106K |
| V2020 |
Frames, purchases |
3,539 |
3,524 |
$73K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,181 |
1,181 |
$53K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,496 |
2,488 |
$49K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,556 |
1,512 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
835 |
809 |
$25K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
785 |
774 |
$23K |
| 92133 |
|
601 |
595 |
$14K |
| 92083 |
|
541 |
532 |
$12K |
| 92136 |
|
443 |
383 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
255 |
254 |
$9K |
| 92341 |
|
309 |
309 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
467 |
421 |
$8K |
| 92015 |
Determination of refractive state |
1,122 |
1,122 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
80 |
80 |
$5K |
| 92134 |
|
196 |
194 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
29 |
$2K |
| 68761 |
|
22 |
12 |
$890.32 |