| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
10,328 |
9,329 |
$944K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,757 |
3,588 |
$444K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
8,462 |
4,469 |
$345K |
| V2020 |
Frames, purchases |
4,509 |
4,441 |
$264K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,527 |
4,446 |
$220K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,003 |
1,835 |
$115K |
| 92015 |
Determination of refractive state |
7,230 |
7,061 |
$103K |
| 92134 |
|
2,020 |
1,522 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
776 |
638 |
$34K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
680 |
451 |
$28K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
186 |
137 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
154 |
95 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
25 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
14 |
$2K |