| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12,298 |
11,398 |
$544K |
| 92015 |
Determination of refractive state |
13,796 |
12,733 |
$242K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,301 |
3,090 |
$231K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
6,326 |
3,453 |
$174K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,385 |
5,243 |
$158K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
1,370 |
1,002 |
$140K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,142 |
1,750 |
$89K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,489 |
2,932 |
$66K |
| V2020 |
Frames, purchases |
4,261 |
4,114 |
$58K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
5,255 |
2,875 |
$56K |
| J9035 |
Injection, bevacizumab, 10 mg |
2,134 |
1,155 |
$44K |
| 92134 |
|
3,717 |
3,135 |
$32K |
| 92136 |
|
1,579 |
813 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
571 |
472 |
$7K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
60 |
48 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
432 |
383 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
616 |
340 |
$6K |
| 99215 |
Prolong outpt/office vis |
84 |
69 |
$1K |
| 67515 |
|
13 |
12 |
$575.25 |
| 45320 |
|
24 |
12 |
$420.00 |
| 92250 |
|
14 |
12 |
$112.17 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
103 |
93 |
$23.80 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
22 |
12 |
$10.83 |
| 83861 |
|
51 |
37 |
$8.58 |
| 2023F |
|
3,742 |
3,730 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
16 |
15 |
$0.00 |
| V2781 |
Progressive lens, per lens |
16 |
13 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
30 |
29 |
$0.00 |