| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,823 |
7,131 |
$683K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,293 |
4,519 |
$515K |
| J0178 |
Injection, aflibercept, 1 mg |
463 |
406 |
$454K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,710 |
2,514 |
$364K |
| 92015 |
Determination of refractive state |
12,938 |
11,322 |
$207K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
709 |
654 |
$89K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,338 |
1,141 |
$70K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
752 |
677 |
$56K |
| 92134 |
|
2,381 |
2,096 |
$48K |
| 92060 |
|
587 |
547 |
$31K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,518 |
1,503 |
$30K |
| V2744 |
Tint, photochromatic, per lens |
303 |
299 |
$30K |
| V2020 |
Frames, purchases |
1,403 |
1,387 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
307 |
277 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
396 |
348 |
$16K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
640 |
633 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
118 |
108 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
98 |
91 |
$8K |
| 92002 |
|
54 |
53 |
$5K |
| V2025 |
Deluxe frame |
78 |
77 |
$4K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
17 |
13 |
$4K |
| J9035 |
Injection, bevacizumab, 10 mg |
27 |
25 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
131 |
128 |
$2K |
| 92136 |
|
31 |
28 |
$821.71 |
| 92025 |
|
15 |
12 |
$215.94 |