| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,289 |
16,356 |
$461K |
| 92250 |
|
4,350 |
4,004 |
$179K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,217 |
2,133 |
$98K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,047 |
1,904 |
$86K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,358 |
1,312 |
$62K |
| 92133 |
|
2,253 |
2,123 |
$52K |
| 92134 |
|
2,305 |
2,161 |
$48K |
| 92083 |
|
1,081 |
1,015 |
$47K |
| 92082 |
|
1,390 |
1,310 |
$33K |
| 92273 |
|
543 |
519 |
$27K |
| V2020 |
Frames, purchases |
478 |
440 |
$21K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
560 |
245 |
$16K |
| 0509T |
|
336 |
316 |
$13K |
| V2750 |
Anti-reflective coating, per lens |
358 |
169 |
$11K |
| V2781 |
Progressive lens, per lens |
204 |
102 |
$11K |
| V2299 |
Specialty bifocal (by report) |
204 |
102 |
$8K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
80 |
40 |
$3K |
| V2744 |
Tint, photochromatic, per lens |
80 |
40 |
$3K |
| 92283 |
|
346 |
340 |
$3K |
| 68761 |
|
57 |
43 |
$2K |
| 76514 |
|
156 |
135 |
$1K |
| 92145 |
|
90 |
90 |
$862.15 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
356 |
146 |
$445.00 |
| 11721 |
|
66 |
65 |
$396.00 |
| 92020 |
|
81 |
74 |
$291.28 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$109.78 |
| 0517F |
|
16 |
16 |
$0.00 |
| 2027F |
|
15 |
15 |
$0.00 |