| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,147 |
3,736 |
$218K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,390 |
4,087 |
$200K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,846 |
4,428 |
$193K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,275 |
3,072 |
$151K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,466 |
961 |
$97K |
| 92134 |
|
3,549 |
3,174 |
$88K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
910 |
842 |
$72K |
| 92133 |
|
2,248 |
2,120 |
$57K |
| 92060 |
|
760 |
695 |
$36K |
| 92201 |
|
1,572 |
1,040 |
$29K |
| 92083 |
|
1,691 |
1,600 |
$27K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
441 |
377 |
$24K |
| 92002 |
|
297 |
283 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
66 |
63 |
$10K |
| V2020 |
Frames, purchases |
518 |
513 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
78 |
75 |
$5K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
57 |
53 |
$5K |
| 92285 |
|
117 |
104 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
67 |
47 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
16 |
16 |
$2K |
| 92020 |
|
88 |
85 |
$2K |
| 99221 |
|
14 |
13 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
202 |
200 |
$937.00 |
| 92250 |
|
28 |
25 |
$847.15 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
14 |
14 |
$258.80 |
| 76514 |
|
12 |
12 |
$109.71 |
| 92015 |
Determination of refractive state |
13 |
13 |
$77.60 |