| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,278 |
3,994 |
$316K |
| V2020 |
Frames, purchases |
4,614 |
4,130 |
$163K |
| 92015 |
Determination of refractive state |
7,609 |
7,102 |
$95K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
855 |
807 |
$82K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,168 |
1,056 |
$29K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,454 |
1,343 |
$29K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
819 |
659 |
$28K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
688 |
465 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
584 |
522 |
$20K |
| 92134 |
|
1,233 |
895 |
$17K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
131 |
126 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
172 |
145 |
$6K |
| 92133 |
|
86 |
74 |
$2K |