| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
2,361 |
1,519 |
$452K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,020 |
9,366 |
$348K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,189 |
3,402 |
$222K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,801 |
2,359 |
$196K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,237 |
4,240 |
$132K |
| V2020 |
Frames, purchases |
7,376 |
6,284 |
$106K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,312 |
3,368 |
$89K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
777 |
629 |
$44K |
| 92134 |
|
3,849 |
3,249 |
$40K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,196 |
3,092 |
$35K |
| 92015 |
Determination of refractive state |
10,758 |
8,950 |
$34K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,987 |
2,353 |
$31K |
| 92136 |
|
1,097 |
725 |
$29K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
979 |
722 |
$20K |
| 93886 |
|
233 |
183 |
$18K |
| 93892 |
|
233 |
183 |
$17K |
| 66821 |
|
153 |
91 |
$11K |
| 92133 |
|
611 |
547 |
$8K |
| 92250 |
|
382 |
290 |
$8K |
| 92083 |
|
260 |
219 |
$6K |
| V2799 |
Vision item or service, miscellaneous |
569 |
566 |
$6K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
94 |
68 |
$6K |
| V2025 |
Deluxe frame |
214 |
197 |
$5K |
| 93890 |
|
234 |
182 |
$5K |
| 83861 |
|
816 |
273 |
$4K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
59 |
53 |
$2K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$352.48 |
| 99024 |
|
75 |
55 |
$0.00 |