| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,886 |
3,789 |
$235K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
738 |
719 |
$60K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
153 |
141 |
$55K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,023 |
966 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
880 |
821 |
$32K |
| 92341 |
|
433 |
421 |
$27K |
| V2020 |
Frames, purchases |
508 |
459 |
$11K |
| 92015 |
Determination of refractive state |
931 |
903 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
362 |
298 |
$8K |
| 92136 |
|
303 |
290 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
78 |
76 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
201 |
178 |
$5K |
| 92083 |
|
118 |
112 |
$4K |
| 92250 |
|
103 |
100 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
395 |
373 |
$3K |
| 92370 |
|
90 |
89 |
$2K |
| 92133 |
|
56 |
55 |
$2K |
| 92002 |
|
31 |
30 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
19 |
19 |
$332.00 |
| 99024 |
|
220 |
171 |
$0.00 |
| G8397 |
Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy |
73 |
68 |
$0.00 |
| 2023F |
|
27 |
27 |
$0.00 |