| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,788 |
1,446 |
$112K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,137 |
1,025 |
$84K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,048 |
1,599 |
$77K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
110 |
75 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,435 |
1,179 |
$48K |
| 92015 |
Determination of refractive state |
5,243 |
4,185 |
$47K |
| 92134 |
|
1,816 |
1,526 |
$37K |
| V2020 |
Frames, purchases |
1,556 |
1,281 |
$33K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
177 |
129 |
$22K |
| 92133 |
|
539 |
449 |
$13K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
519 |
378 |
$12K |
| 92060 |
|
357 |
233 |
$9K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
657 |
362 |
$8K |
| 92136 |
|
186 |
155 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
268 |
219 |
$6K |
| 92083 |
|
150 |
141 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
67 |
26 |
$702.61 |
| 92250 |
|
13 |
12 |
$436.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
45 |
27 |
$146.88 |