| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,460 |
4,843 |
$368K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,926 |
2,568 |
$256K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,428 |
3,798 |
$156K |
| 92015 |
Determination of refractive state |
11,677 |
10,397 |
$116K |
| V2020 |
Frames, purchases |
2,763 |
2,505 |
$70K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
59 |
40 |
$12K |
| 92134 |
|
522 |
428 |
$10K |
| 92133 |
|
463 |
413 |
$9K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
257 |
192 |
$8K |
| 92136 |
|
303 |
253 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
129 |
121 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
115 |
82 |
$4K |
| 92083 |
|
87 |
81 |
$3K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
50 |
39 |
$3K |
| 92250 |
|
33 |
26 |
$369.80 |
| 92020 |
|
14 |
13 |
$285.83 |
| 76514 |
|
28 |
28 |
$216.16 |
| 68841 |
|
18 |
13 |
$50.39 |