| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,643 |
7,090 |
$656K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,648 |
2,506 |
$310K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,171 |
3,891 |
$288K |
| 92060 |
|
3,404 |
3,251 |
$174K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,353 |
3,224 |
$125K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
905 |
856 |
$106K |
| 92015 |
Determination of refractive state |
9,545 |
9,057 |
$105K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,375 |
2,303 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
714 |
654 |
$64K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
321 |
313 |
$23K |
| V2020 |
Frames, purchases |
1,753 |
1,697 |
$21K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
68 |
52 |
$16K |
| 92083 |
|
217 |
207 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
374 |
371 |
$6K |
| 92136 |
|
300 |
267 |
$6K |
| V2025 |
Deluxe frame |
94 |
93 |
$4K |
| 92133 |
|
168 |
157 |
$4K |
| 92025 |
|
160 |
155 |
$3K |
| 92134 |
|
173 |
162 |
$3K |
| 92020 |
|
37 |
28 |
$642.70 |
| 92132 |
|
30 |
30 |
$494.49 |
| 92225 |
|
20 |
12 |
$406.16 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
13 |
13 |
$185.25 |
| 99072 |
|
18 |
18 |
$157.50 |
| 83861 |
|
32 |
16 |
$0.00 |