| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,862 |
2,844 |
$170K |
| 76512 |
|
2,578 |
1,951 |
$103K |
| 92083 |
|
2,319 |
2,305 |
$85K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,432 |
1,414 |
$84K |
| 92250 |
|
2,851 |
2,753 |
$82K |
| 92286 |
|
2,063 |
2,046 |
$69K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
717 |
710 |
$53K |
| 92020 |
|
3,421 |
3,395 |
$40K |
| 92015 |
Determination of refractive state |
2,048 |
2,044 |
$30K |
| 92273 |
|
579 |
568 |
$24K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
365 |
343 |
$12K |
| 92226 |
|
960 |
944 |
$11K |
| 92133 |
|
457 |
457 |
$10K |
| 92202 |
|
819 |
810 |
$6K |
| 92225 |
|
387 |
347 |
$5K |
| 76514 |
|
1,047 |
1,040 |
$4K |
| 92285 |
|
157 |
156 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44 |
44 |
$914.42 |
| 92201 |
|
74 |
72 |
$617.87 |
| 76513 |
|
13 |
12 |
$587.16 |
| 92134 |
|
15 |
15 |
$152.71 |
| V2020 |
Frames, purchases |
13 |
13 |
$134.64 |