| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,266 |
3,855 |
$391K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,494 |
4,865 |
$342K |
| 92015 |
Determination of refractive state |
11,120 |
9,764 |
$152K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
828 |
615 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,265 |
994 |
$21K |
| 92002 |
|
453 |
330 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
89 |
71 |
$4K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
227 |
109 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
254 |
221 |
$3K |
| 92136 |
|
662 |
431 |
$3K |
| V2020 |
Frames, purchases |
353 |
244 |
$3K |
| 92133 |
|
64 |
52 |
$766.92 |
| 92083 |
|
76 |
62 |
$743.23 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
47 |
37 |
$564.04 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
123 |
77 |
$553.52 |
| 92250 |
|
82 |
68 |
$521.13 |
| 92134 |
|
12 |
12 |
$58.05 |
| 2025F |
|
26 |
25 |
$0.00 |