| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
11,539 |
11,473 |
$558K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
7,216 |
6,942 |
$303K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,972 |
2,929 |
$175K |
| 92133 |
|
6,545 |
6,529 |
$98K |
| 92083 |
|
2,871 |
2,862 |
$80K |
| 92250 |
|
2,093 |
2,081 |
$70K |
| 92002 |
|
1,144 |
1,143 |
$56K |
| 92134 |
|
3,943 |
3,926 |
$51K |
| 92226 |
|
3,112 |
1,933 |
$40K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
172 |
147 |
$40K |
| 92202 |
|
6,669 |
6,314 |
$38K |
| 92285 |
|
2,023 |
2,013 |
$32K |
| 92015 |
Determination of refractive state |
3,815 |
3,814 |
$31K |
| 68040 |
|
2,604 |
1,502 |
$29K |
| 92020 |
|
2,102 |
2,097 |
$22K |
| 83861 |
|
6,971 |
3,657 |
$21K |
| V2020 |
Frames, purchases |
1,109 |
1,108 |
$14K |
| 92225 |
|
767 |
510 |
$14K |
| 92286 |
|
556 |
553 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
534 |
486 |
$10K |
| 92132 |
|
200 |
200 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
420 |
210 |
$2K |
| 76519 |
|
112 |
111 |
$2K |
| 92025 |
|
98 |
98 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
477 |
336 |
$1K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
52 |
52 |
$765.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
26 |
26 |
$661.20 |
| 92499 |
|
36 |
36 |
$41.66 |
| 1036F |
|
193 |
192 |
$0.00 |