| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
16,099 |
15,805 |
$1.83M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
23,946 |
22,923 |
$1.77M |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
2,847 |
2,253 |
$833K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
11,924 |
10,497 |
$626K |
| J0178 |
Injection, aflibercept, 1 mg |
298 |
228 |
$262K |
| 92015 |
Determination of refractive state |
21,567 |
21,144 |
$135K |
| 00142 |
|
2,421 |
1,969 |
$131K |
| 92134 |
|
5,564 |
4,982 |
$128K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,284 |
1,950 |
$124K |
| 92202 |
|
9,682 |
9,023 |
$83K |
| 92136 |
|
2,510 |
2,248 |
$78K |
| 83861 |
|
2,204 |
1,032 |
$34K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
875 |
872 |
$33K |
| 92226 |
|
2,647 |
1,574 |
$23K |
| V2020 |
Frames, purchases |
1,048 |
1,046 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
171 |
166 |
$18K |
| 92002 |
|
143 |
143 |
$13K |
| 92225 |
|
640 |
399 |
$9K |
| J2403 |
Chloroprocaine hcl ophthalmic, 3% gel, 1 mg |
16 |
16 |
$6K |
| 92250 |
|
97 |
84 |
$4K |
| J9035 |
Injection, bevacizumab, 10 mg |
68 |
66 |
$4K |
| 92133 |
|
115 |
108 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
272 |
271 |
$3K |
| 0356T |
|
165 |
146 |
$2K |
| 92083 |
|
25 |
24 |
$1K |
| 68841 |
|
557 |
347 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
12 |
12 |
$446.16 |
| 92201 |
|
13 |
13 |
$145.09 |
| 99058 |
|
12 |
12 |
$38.25 |