| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,869 |
3,166 |
$109K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,615 |
3,087 |
$54K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,724 |
2,295 |
$52K |
| 92015 |
Determination of refractive state |
8,653 |
7,205 |
$31K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
4,517 |
3,664 |
$28K |
| 99310 |
Prolong nursin fac eval 15m |
1,839 |
1,507 |
$27K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
266 |
266 |
$6K |
| V2020 |
Frames, purchases |
113 |
113 |
$2K |
| 92250 |
|
167 |
138 |
$2K |
| 92285 |
|
486 |
399 |
$2K |
| 99350 |
Prolong home eval add 15m |
36 |
31 |
$541.55 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
26 |
26 |
$406.34 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
112 |
108 |
$239.65 |
| 99337 |
|
84 |
79 |
$190.94 |
| 99335 |
|
29 |
28 |
$69.36 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21 |
19 |
$57.58 |
| V2756 |
Eye glass case |
72 |
72 |
$56.92 |
| 3284F |
|
852 |
706 |
$0.00 |
| 4177F |
|
58 |
50 |
$0.00 |
| 2022F |
|
37 |
26 |
$0.00 |
| G9974 |
Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity |
45 |
38 |
$0.00 |
| 2027F |
|
426 |
371 |
$0.00 |