| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
87,877 |
81,932 |
$4.65M |
| V5261 |
Hearing aid, digital, binaural, bte |
2,456 |
1,409 |
$3.61M |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
57,961 |
51,006 |
$2.61M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
38,756 |
36,672 |
$2.58M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18,453 |
14,870 |
$1.61M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,855 |
26,230 |
$1.54M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,535 |
13,401 |
$884K |
| 92083 |
|
23,018 |
19,832 |
$711K |
| 92015 |
Determination of refractive state |
81,139 |
76,542 |
$702K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
4,515 |
3,643 |
$700K |
| 31231 |
|
3,939 |
3,156 |
$447K |
| 92133 |
|
22,657 |
19,064 |
$415K |
| 92250 |
|
16,163 |
13,926 |
$349K |
| V5160 |
Dispensing fee, binaural |
1,886 |
1,352 |
$246K |
| 92134 |
|
13,995 |
11,703 |
$216K |
| 31575 |
|
2,614 |
2,110 |
$193K |
| 92273 |
|
3,195 |
2,496 |
$181K |
| 92202 |
|
21,747 |
18,066 |
$153K |
| 92557 |
|
9,453 |
7,259 |
$151K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
663 |
533 |
$144K |
| 69210 |
|
6,463 |
4,736 |
$135K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,460 |
7,313 |
$112K |
| 92587 |
|
9,343 |
7,084 |
$92K |
| 0509T |
|
2,151 |
1,830 |
$86K |
| 92020 |
|
5,636 |
4,793 |
$78K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,452 |
2,100 |
$76K |
| 92002 |
|
1,458 |
1,345 |
$69K |
| V5011 |
Fitting/orientation/checking of hearing aid |
2,032 |
1,458 |
$67K |
| 92225 |
|
3,128 |
1,804 |
$59K |
| 92025 |
|
3,414 |
2,817 |
$55K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,489 |
1,076 |
$54K |
| 92226 |
|
4,188 |
2,378 |
$53K |
| 68761 |
|
1,161 |
429 |
$49K |
| 76514 |
|
6,583 |
5,508 |
$44K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,218 |
888 |
$40K |
| 92570 |
|
2,602 |
2,157 |
$39K |
| 92275 |
|
461 |
458 |
$36K |
| 92567 |
|
5,653 |
4,049 |
$35K |
| 92136 |
|
2,114 |
1,392 |
$33K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
669 |
441 |
$31K |
| 92285 |
|
7,263 |
4,988 |
$30K |
| 92201 |
|
1,584 |
1,345 |
$17K |
| V5020 |
Conformity evaluation |
488 |
368 |
$14K |
| 92550 |
|
1,289 |
1,051 |
$14K |
| 95117 |
|
1,234 |
400 |
$11K |
| V2020 |
Frames, purchases |
33,051 |
32,797 |
$10K |
| 92593 |
|
344 |
303 |
$10K |
| 65778 |
|
20 |
13 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
193 |
188 |
$9K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
17,408 |
9,022 |
$9K |
| 92060 |
|
160 |
157 |
$6K |
| V5265 |
Ear mold/insert, disposable, any type |
120 |
87 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
41,265 |
20,736 |
$5K |
| 92145 |
|
770 |
608 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
208 |
199 |
$4K |
| 66982 |
|
22 |
13 |
$4K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
38 |
27 |
$4K |
| 92235 |
|
59 |
42 |
$3K |
| 92568 |
|
643 |
391 |
$3K |
| 92504 |
|
151 |
126 |
$2K |
| 69421 |
|
45 |
25 |
$2K |
| V5266 |
Battery for use in hearing device |
22 |
18 |
$1K |
| 92588 |
|
46 |
46 |
$826.71 |
| V2755 |
U-v lens, per lens |
42 |
42 |
$592.80 |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
93 |
93 |
$500.00 |
| V5267 |
Hearing aid or assistive listening device/supplies/accessories, not otherwise specified |
66 |
38 |
$435.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
1,074 |
554 |
$338.00 |
| 92081 |
|
14 |
14 |
$254.74 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
93 |
63 |
$186.39 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
6,779 |
3,408 |
$116.00 |
| 99058 |
|
15 |
15 |
$63.12 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
27,150 |
13,574 |
$41.00 |
| V2744 |
Tint, photochromatic, per lens |
6,295 |
3,148 |
$0.00 |
| V2781 |
Progressive lens, per lens |
3,716 |
1,858 |
$0.00 |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
512 |
256 |
$0.00 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
4,347 |
2,169 |
$0.00 |
| V2299 |
Specialty bifocal (by report) |
2,808 |
1,398 |
$0.00 |
| A4262 |
Temporary, absorbable lacrimal duct implant, each |
93 |
75 |
$0.00 |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
51 |
51 |
$0.00 |
| V2799 |
Vision item or service, miscellaneous |
234 |
117 |
$0.00 |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
52 |
25 |
$0.00 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
3,190 |
1,582 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
25,432 |
12,716 |
$0.00 |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
77 |
77 |
$0.00 |
| V2760 |
Scratch resistant coating, per lens |
250 |
125 |
$0.00 |