| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
28,860 |
24,119 |
$1.79M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12,059 |
9,858 |
$1.03M |
| 92015 |
Determination of refractive state |
49,862 |
39,577 |
$572K |
| V2020 |
Frames, purchases |
20,880 |
18,270 |
$568K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,098 |
5,321 |
$429K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
1,681 |
1,037 |
$330K |
| J0178 |
Injection, aflibercept, 1 mg |
760 |
408 |
$313K |
| 92060 |
|
7,091 |
6,239 |
$269K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,207 |
1,929 |
$220K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
8,419 |
4,895 |
$218K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,918 |
4,315 |
$190K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,759 |
2,096 |
$100K |
| 92134 |
|
5,484 |
4,380 |
$87K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,326 |
1,706 |
$83K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,895 |
2,143 |
$69K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
823 |
545 |
$25K |
| J9035 |
Injection, bevacizumab, 10 mg |
597 |
412 |
$21K |
| 92136 |
|
1,049 |
552 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
478 |
432 |
$20K |
| V2760 |
Scratch resistant coating, per lens |
468 |
455 |
$12K |
| 66821 |
|
93 |
64 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
489 |
479 |
$8K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
228 |
186 |
$6K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
165 |
92 |
$5K |
| J3590 |
Unclassified biologics |
225 |
134 |
$2K |
| 92002 |
|
70 |
64 |
$1K |
| V2755 |
U-v lens, per lens |
61 |
56 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
12 |
$1K |
| 92133 |
|
72 |
62 |
$683.68 |
| V2299 |
Specialty bifocal (by report) |
16 |
12 |
$527.80 |
| V2750 |
Anti-reflective coating, per lens |
69 |
52 |
$168.32 |
| V2781 |
Progressive lens, per lens |
35 |
25 |
$45.00 |
| 92083 |
|
29 |
26 |
$0.00 |