| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,776 |
2,754 |
$125K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,848 |
1,789 |
$79K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,403 |
1,193 |
$73K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,238 |
2,220 |
$62K |
| V2020 |
Frames, purchases |
2,314 |
2,290 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
881 |
734 |
$37K |
| 92083 |
|
883 |
812 |
$30K |
| 92250 |
|
1,226 |
1,132 |
$27K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
107 |
72 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
148 |
141 |
$15K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,069 |
2,043 |
$14K |
| 99215 |
Prolong outpt/office vis |
205 |
164 |
$10K |
| 92133 |
|
390 |
361 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
181 |
170 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
89 |
88 |
$6K |
| V2025 |
Deluxe frame |
117 |
117 |
$3K |
| 92136 |
|
115 |
90 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
42 |
39 |
$2K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
40 |
40 |
$2K |
| 92025 |
|
82 |
72 |
$2K |
| 92015 |
Determination of refractive state |
3,580 |
3,554 |
$1K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
27 |
27 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 92134 |
|
43 |
38 |
$829.56 |
| 76514 |
|
13 |
12 |
$92.03 |
| 99199 |
Unlisted special service, procedure or report |
506 |
506 |
$0.00 |