| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,742 |
1,656 |
$108K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,206 |
2,031 |
$107K |
| V2020 |
Frames, purchases |
549 |
527 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
817 |
699 |
$34K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,170 |
570 |
$29K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
223 |
180 |
$23K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
99 |
81 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
227 |
209 |
$14K |
| 92060 |
|
978 |
896 |
$11K |
| 92134 |
|
432 |
361 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
149 |
135 |
$6K |
| 92015 |
Determination of refractive state |
2,405 |
2,269 |
$3K |
| 92136 |
|
290 |
261 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$988.62 |
| 92133 |
|
16 |
14 |
$177.55 |