| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,769 |
2,472 |
$184K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,682 |
2,222 |
$139K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,058 |
1,732 |
$63K |
| 92015 |
Determination of refractive state |
5,884 |
4,837 |
$59K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
472 |
437 |
$46K |
| V2020 |
Frames, purchases |
1,499 |
1,419 |
$38K |
| 92134 |
|
1,215 |
1,014 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
156 |
140 |
$13K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
286 |
241 |
$8K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
92 |
65 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
65 |
56 |
$1K |
| 92250 |
|
13 |
12 |
$167.72 |