| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 83861 |
|
16,378 |
7,837 |
$326K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,850 |
3,611 |
$267K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,369 |
3,314 |
$253K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,264 |
2,235 |
$202K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,630 |
2,439 |
$150K |
| 92285 |
|
9,191 |
8,550 |
$119K |
| 92083 |
|
2,713 |
2,624 |
$106K |
| 92250 |
|
4,013 |
3,877 |
$100K |
| 92015 |
Determination of refractive state |
6,560 |
6,459 |
$75K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,118 |
3,090 |
$72K |
| 68761 |
|
897 |
437 |
$68K |
| 92273 |
|
691 |
682 |
$59K |
| 92341 |
|
2,087 |
2,043 |
$56K |
| 92284 |
|
812 |
791 |
$25K |
| 92020 |
|
1,118 |
1,083 |
$18K |
| 92286 |
|
611 |
600 |
$15K |
| 92060 |
|
288 |
283 |
$12K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
231 |
225 |
$10K |
| V2020 |
Frames, purchases |
284 |
274 |
$7K |
| 99072 |
|
705 |
664 |
$4K |
| 92134 |
|
16 |
15 |
$432.37 |
| 76514 |
|
65 |
59 |
$356.45 |