| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,110 |
2,040 |
$119K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,467 |
1,397 |
$111K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
232 |
183 |
$53K |
| V2020 |
Frames, purchases |
450 |
448 |
$19K |
| 92015 |
Determination of refractive state |
3,505 |
3,392 |
$17K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
353 |
177 |
$10K |
| 92136 |
|
148 |
123 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18 |
15 |
$846.94 |
| 92250 |
|
42 |
41 |
$749.03 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
20 |
12 |
$607.60 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
12 |
$470.79 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
21 |
12 |
$234.23 |