| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
17,201 |
15,963 |
$1.76M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
8,760 |
8,285 |
$1.21M |
| 92015 |
Determination of refractive state |
24,212 |
22,859 |
$438K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
11,374 |
11,029 |
$412K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
426 |
311 |
$117K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,048 |
888 |
$54K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
585 |
546 |
$48K |
| 92136 |
|
771 |
630 |
$21K |
| 92002 |
|
182 |
166 |
$13K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
191 |
166 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
56 |
53 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
110 |
101 |
$7K |
| 92285 |
|
288 |
253 |
$3K |
| 92250 |
|
60 |
58 |
$2K |
| 92133 |
|
73 |
69 |
$2K |
| 92020 |
|
15 |
15 |
$317.17 |
| 76514 |
|
26 |
26 |
$192.24 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
91 |
55 |
$134.29 |
| V2020 |
Frames, purchases |
14 |
14 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
41 |
24 |
$0.00 |