| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
11,640 |
10,366 |
$397K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,828 |
7,323 |
$390K |
| 92250 |
|
9,657 |
9,029 |
$303K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,478 |
4,293 |
$278K |
| 92015 |
Determination of refractive state |
11,386 |
10,732 |
$224K |
| 83861 |
|
5,858 |
3,489 |
$47K |
| 92083 |
|
1,951 |
1,869 |
$42K |
| 92020 |
|
3,124 |
2,886 |
$35K |
| 92226 |
|
1,533 |
768 |
$32K |
| 92133 |
|
2,158 |
2,056 |
$32K |
| 92225 |
|
1,206 |
590 |
$30K |
| 92134 |
|
1,004 |
920 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
511 |
475 |
$9K |
| 76514 |
|
738 |
693 |
$5K |
| 65855 |
|
26 |
12 |
$3K |
| 95930 |
|
82 |
82 |
$3K |
| 92201 |
|
335 |
324 |
$2K |
| 92136 |
|
118 |
111 |
$2K |
| 92002 |
|
25 |
24 |
$826.46 |
| 92283 |
|
47 |
45 |
$609.44 |
| 92202 |
|
94 |
77 |
$430.19 |
| J9035 |
Injection, bevacizumab, 10 mg |
95 |
63 |
$271.38 |
| 92025 |
|
13 |
13 |
$231.59 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
35 |
18 |
$21.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
483 |
248 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
239 |
125 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
24 |
12 |
$0.00 |
| V2020 |
Frames, purchases |
49 |
49 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
119 |
66 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$0.00 |