| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
1,918 |
1,847 |
$1.11M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
10,125 |
9,343 |
$244K |
| 92015 |
Determination of refractive state |
11,568 |
10,664 |
$204K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,525 |
3,142 |
$142K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,776 |
4,619 |
$138K |
| 92134 |
|
7,000 |
6,729 |
$70K |
| 92136 |
|
3,212 |
1,764 |
$69K |
| 92083 |
|
5,495 |
5,296 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,494 |
1,426 |
$60K |
| 92020 |
|
5,692 |
5,488 |
$42K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,706 |
4,427 |
$41K |
| 92133 |
|
3,306 |
3,158 |
$41K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
376 |
364 |
$28K |
| V2025 |
Deluxe frame |
805 |
644 |
$19K |
| 92250 |
|
865 |
823 |
$17K |
| 68840 |
|
195 |
168 |
$14K |
| 92002 |
|
979 |
975 |
$12K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
221 |
168 |
$9K |
| 92202 |
|
1,176 |
1,060 |
$8K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
160 |
124 |
$7K |
| 66982 |
|
15 |
14 |
$6K |
| 92225 |
|
89 |
41 |
$3K |
| 99304 |
|
40 |
40 |
$2K |
| 99307 |
|
51 |
51 |
$1K |
| 76514 |
|
322 |
315 |
$1K |
| 68761 |
|
18 |
13 |
$689.06 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28 |
28 |
$425.16 |
| V2020 |
Frames, purchases |
24 |
24 |
$129.60 |