| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12,286 |
11,979 |
$223K |
| 68761 |
|
3,859 |
3,071 |
$107K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,871 |
1,868 |
$78K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,219 |
3,930 |
$64K |
| V2020 |
Frames, purchases |
5,038 |
5,037 |
$54K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,448 |
3,441 |
$51K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
294 |
276 |
$48K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,031 |
4,031 |
$44K |
| 92250 |
|
2,117 |
2,111 |
$34K |
| 92134 |
|
5,147 |
5,034 |
$29K |
| 92015 |
Determination of refractive state |
8,028 |
8,028 |
$27K |
| 92226 |
|
2,440 |
1,284 |
$22K |
| 92202 |
|
4,014 |
3,985 |
$13K |
| 92341 |
|
809 |
809 |
$13K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
132 |
124 |
$12K |
| 92133 |
|
962 |
960 |
$11K |
| 92225 |
|
755 |
459 |
$11K |
| 92136 |
|
343 |
338 |
$5K |
| 92201 |
|
575 |
570 |
$3K |
| 92020 |
|
326 |
325 |
$2K |
| 99442 |
|
28 |
28 |
$802.09 |
| 92083 |
|
29 |
28 |
$30.20 |