| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
22,103 |
22,022 |
$512K |
| V2020 |
Frames, purchases |
34,281 |
34,183 |
$453K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
17,221 |
17,069 |
$438K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
24,282 |
24,185 |
$335K |
| 92015 |
Determination of refractive state |
52,280 |
52,071 |
$260K |
| 92341 |
|
8,261 |
8,236 |
$176K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
6,536 |
6,425 |
$105K |
| 92002 |
|
3,006 |
2,991 |
$71K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
219 |
191 |
$53K |
| 68761 |
|
457 |
295 |
$43K |
| V2025 |
Deluxe frame |
1,070 |
1,058 |
$23K |
| 92134 |
|
1,129 |
1,028 |
$22K |
| 92235 |
|
168 |
166 |
$9K |
| 92250 |
|
184 |
181 |
$5K |
| J9035 |
Injection, bevacizumab, 10 mg |
117 |
83 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
411 |
396 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
41 |
$2K |
| 92133 |
|
92 |
91 |
$880.60 |
| 92083 |
|
80 |
80 |
$853.32 |
| 92020 |
|
54 |
54 |
$265.49 |
| 76514 |
|
64 |
63 |
$140.88 |
| 92226 |
|
23 |
14 |
$62.88 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
12 |
12 |
$47.52 |