| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13,382 |
13,160 |
$673K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,116 |
4,084 |
$320K |
| 92015 |
Determination of refractive state |
7,153 |
7,110 |
$100K |
| J0178 |
Injection, aflibercept, 1 mg |
75 |
73 |
$89K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,289 |
1,229 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,745 |
1,632 |
$52K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
268 |
253 |
$48K |
| 92134 |
|
2,929 |
2,438 |
$42K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,318 |
1,059 |
$37K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
778 |
737 |
$29K |
| 92250 |
|
1,114 |
898 |
$23K |
| 92083 |
|
799 |
674 |
$17K |
| 92341 |
|
367 |
366 |
$13K |
| 92136 |
|
692 |
578 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
294 |
290 |
$12K |
| 92133 |
|
587 |
503 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
187 |
180 |
$5K |
| V2020 |
Frames, purchases |
562 |
464 |
$2K |
| J9035 |
Injection, bevacizumab, 10 mg |
44 |
39 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$1K |
| 92201 |
|
63 |
60 |
$535.39 |
| 83861 |
|
28 |
14 |
$412.34 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
500 |
220 |
$268.60 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
59 |
32 |
$86.70 |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
791 |
314 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
92 |
46 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
28 |
14 |
$0.00 |