| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,175 |
4,172 |
$420K |
| 92083 |
|
6,442 |
6,432 |
$288K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,257 |
2,254 |
$168K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,887 |
2,758 |
$149K |
| 92250 |
|
4,212 |
4,207 |
$116K |
| 92133 |
|
1,274 |
1,273 |
$29K |
| 76514 |
|
2,882 |
2,871 |
$21K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
36 |
36 |
$13K |
| 92286 |
|
487 |
481 |
$12K |
| 92002 |
|
163 |
163 |
$10K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
376 |
372 |
$9K |
| V2020 |
Frames, purchases |
429 |
424 |
$9K |
| 92136 |
|
372 |
372 |
$9K |
| 92025 |
|
274 |
267 |
$6K |
| 66761 |
|
13 |
13 |
$3K |
| 68761 |
|
29 |
28 |
$3K |
| 92285 |
|
115 |
111 |
$2K |
| 92134 |
|
76 |
73 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
59 |
58 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
202 |
199 |
$1K |
| 92132 |
|
14 |
14 |
$232.90 |
| 99072 |
|
159 |
150 |
$43.75 |
| V2025 |
Deluxe frame |
12 |
12 |
$0.00 |