| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
9,759 |
9,674 |
$284K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,619 |
4,592 |
$231K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
4,597 |
4,544 |
$211K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,593 |
5,186 |
$207K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
4,457 |
4,408 |
$196K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
904 |
658 |
$150K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,699 |
7,644 |
$140K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,779 |
1,768 |
$133K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
991 |
990 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,236 |
1,188 |
$65K |
| 92134 |
|
3,088 |
3,035 |
$54K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,193 |
1,128 |
$51K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,926 |
4,858 |
$50K |
| 92083 |
|
1,394 |
1,379 |
$39K |
| 92341 |
|
1,838 |
1,820 |
$38K |
| 92015 |
Determination of refractive state |
4,033 |
4,012 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
598 |
597 |
$36K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,604 |
2,565 |
$23K |
| 92133 |
|
1,346 |
1,342 |
$21K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,429 |
1,405 |
$19K |
| 92136 |
|
1,010 |
966 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
421 |
415 |
$12K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
240 |
231 |
$9K |
| 67228 |
|
16 |
12 |
$3K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
199 |
197 |
$3K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
199 |
198 |
$3K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
129 |
127 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
37 |
37 |
$1K |
| J9035 |
Injection, bevacizumab, 10 mg |
24 |
24 |
$1K |
| 92002 |
|
13 |
13 |
$587.94 |
| J3590 |
Unclassified biologics |
12 |
12 |
$353.93 |
| 2023F |
|
161 |
161 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
172 |
172 |
$0.00 |
| 2022F |
|
71 |
69 |
$0.00 |