| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,756 |
5,545 |
$494K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,257 |
4,241 |
$448K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,374 |
3,347 |
$424K |
| 92083 |
|
7,311 |
7,279 |
$375K |
| 92133 |
|
7,097 |
7,067 |
$195K |
| 92020 |
|
7,356 |
7,271 |
$162K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
7,029 |
4,118 |
$123K |
| 66761 |
|
292 |
179 |
$74K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,017 |
998 |
$62K |
| V2020 |
Frames, purchases |
4,775 |
4,730 |
$60K |
| 92250 |
|
1,048 |
1,046 |
$38K |
| 92134 |
|
1,107 |
1,103 |
$30K |
| 76514 |
|
1,932 |
1,919 |
$17K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
505 |
259 |
$4K |
| 67820 |
|
223 |
183 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,602 |
890 |
$3K |
| 99051 |
|
96 |
93 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
113 |
113 |
$1K |
| 92132 |
|
13 |
13 |
$338.90 |
| 92015 |
Determination of refractive state |
13 |
13 |
$152.68 |
| 2023F |
|
695 |
694 |
$0.59 |
| 2025F |
|
195 |
195 |
$0.12 |
| 2022F |
|
422 |
414 |
$0.00 |
| 99072 |
|
112 |
103 |
$0.00 |
| 2024F |
|
43 |
43 |
$0.00 |