| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
24,743 |
23,138 |
$1.37M |
| V2020 |
Frames, purchases |
20,631 |
20,503 |
$1.22M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
22,948 |
21,629 |
$1.17M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,893 |
16,666 |
$1.01M |
| J0178 |
Injection, aflibercept, 1 mg |
1,125 |
782 |
$765K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
3,099 |
2,196 |
$648K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
11,127 |
11,066 |
$587K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,933 |
5,304 |
$491K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,534 |
10,334 |
$485K |
| 92015 |
Determination of refractive state |
45,022 |
41,538 |
$324K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
8,958 |
8,837 |
$307K |
| V2025 |
Deluxe frame |
4,851 |
4,844 |
$243K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,352 |
3,348 |
$242K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
3,185 |
2,234 |
$145K |
| 92134 |
|
5,608 |
4,678 |
$105K |
| 92250 |
|
4,202 |
3,610 |
$80K |
| 92133 |
|
3,896 |
3,433 |
$80K |
| 92136 |
|
3,337 |
2,648 |
$71K |
| 92083 |
|
1,728 |
1,534 |
$55K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
587 |
563 |
$42K |
| J9035 |
Injection, bevacizumab, 10 mg |
945 |
648 |
$40K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
6,055 |
5,821 |
$40K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
528 |
526 |
$24K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
421 |
421 |
$22K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
501 |
418 |
$17K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
282 |
281 |
$15K |
| 83861 |
|
1,685 |
658 |
$13K |
| 92285 |
|
737 |
652 |
$9K |
| 66821 |
|
109 |
65 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
221 |
176 |
$4K |
| 92002 |
|
58 |
55 |
$4K |
| V2760 |
Scratch resistant coating, per lens |
182 |
181 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
31 |
30 |
$1K |
| V2781 |
Progressive lens, per lens |
27 |
27 |
$1K |
| 68761 |
|
31 |
12 |
$1K |
| V2750 |
Anti-reflective coating, per lens |
152 |
130 |
$1K |
| 92025 |
|
35 |
29 |
$623.70 |
| 92020 |
|
29 |
27 |
$369.40 |
| 76514 |
|
59 |
52 |
$364.66 |
| 92310 |
|
12 |
12 |
$87.11 |
| V2755 |
U-v lens, per lens |
39 |
30 |
$8.66 |
| V2744 |
Tint, photochromatic, per lens |
13 |
13 |
$0.00 |
| 2023F |
|
12 |
12 |
$0.00 |
| 99199 |
Unlisted special service, procedure or report |
797 |
797 |
$0.00 |