| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
895 |
580 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,730 |
1,279 |
$41K |
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
406 |
358 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,584 |
1,198 |
$28K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,508 |
1,345 |
$22K |
| V2020 |
Frames, purchases |
1,521 |
1,355 |
$18K |
| V2750 |
Anti-reflective coating, per lens |
262 |
239 |
$15K |
| V2499 |
Variable sphericity lens, other type |
329 |
279 |
$14K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
840 |
744 |
$13K |
| 92250 |
|
652 |
539 |
$13K |
| J9035 |
Injection, bevacizumab, 10 mg |
424 |
295 |
$11K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
864 |
760 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
152 |
133 |
$8K |
| 92015 |
Determination of refractive state |
1,148 |
1,044 |
$8K |
| 92134 |
|
908 |
615 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
33 |
31 |
$2K |
| 92226 |
|
405 |
167 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
42 |
42 |
$2K |
| V2755 |
U-v lens, per lens |
419 |
370 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
52 |
51 |
$1K |
| 65800 |
|
40 |
26 |
$519.80 |
| 92202 |
|
123 |
77 |
$426.60 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
45 |
38 |
$361.52 |
| 92083 |
|
13 |
13 |
$322.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
478 |
373 |
$0.00 |
| 2022F |
|
97 |
66 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
506 |
388 |
$0.00 |
| V2760 |
Scratch resistant coating, per lens |
81 |
76 |
$0.00 |
| 99027 |
|
15 |
14 |
$0.00 |