| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,012 |
987 |
$108K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,176 |
2,802 |
$98K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
781 |
710 |
$67K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
286 |
177 |
$51K |
| 92015 |
Determination of refractive state |
3,814 |
3,417 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
887 |
798 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
609 |
551 |
$33K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
354 |
348 |
$25K |
| V2020 |
Frames, purchases |
526 |
518 |
$20K |
| 92136 |
|
817 |
683 |
$15K |
| 99205 |
Prolong outpt/office vis |
135 |
109 |
$12K |
| 92083 |
|
58 |
55 |
$2K |
| 92133 |
|
82 |
70 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
83 |
80 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$674.16 |
| 92250 |
|
12 |
12 |
$144.30 |