| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
10,265 |
9,429 |
$347K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,090 |
3,720 |
$201K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,299 |
1,554 |
$116K |
| V2020 |
Frames, purchases |
2,527 |
2,221 |
$105K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,175 |
1,929 |
$31K |
| 92015 |
Determination of refractive state |
10,970 |
10,097 |
$17K |
| 99349 |
|
493 |
478 |
$14K |
| 92250 |
|
1,298 |
1,160 |
$11K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
433 |
407 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
208 |
97 |
$6K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
220 |
212 |
$3K |
| 99337 |
|
160 |
113 |
$3K |
| 99350 |
Prolong home eval add 15m |
46 |
46 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
600 |
310 |
$2K |
| 76514 |
|
236 |
210 |
$741.76 |
| 2022F |
|
1,243 |
912 |
$0.00 |
| G9974 |
Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity |
1,487 |
1,044 |
$0.00 |
| 5010F |
|
14 |
12 |
$0.00 |
| 0517F |
|
65 |
27 |
$0.00 |
| 4177F |
|
1,499 |
1,053 |
$0.00 |
| 3284F |
|
904 |
579 |
$0.00 |
| G8397 |
Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy |
14 |
12 |
$0.00 |
| 3285F |
|
18 |
15 |
$0.00 |