| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
515 |
476 |
$44K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
387 |
326 |
$34K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
51 |
44 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
381 |
353 |
$22K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
162 |
151 |
$12K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
219 |
170 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
316 |
274 |
$10K |
| 92136 |
|
203 |
126 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
142 |
118 |
$7K |
| 92015 |
Determination of refractive state |
534 |
491 |
$7K |
| 92083 |
|
155 |
131 |
$7K |
| 92133 |
|
190 |
171 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
69 |
65 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
33 |
33 |
$1K |
| 76514 |
|
98 |
87 |
$1K |
| V2025 |
Deluxe frame |
70 |
70 |
$0.00 |