| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92134 |
|
3,738 |
3,198 |
$175K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
468 |
359 |
$90K |
| J0178 |
Injection, aflibercept, 1 mg |
93 |
77 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,436 |
1,951 |
$54K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,866 |
2,505 |
$47K |
| 92015 |
Determination of refractive state |
943 |
900 |
$17K |
| V2020 |
Frames, purchases |
393 |
378 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
348 |
335 |
$6K |
| 92133 |
|
362 |
319 |
$3K |
| 92136 |
|
332 |
190 |
$3K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
157 |
156 |
$3K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
188 |
106 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
216 |
204 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
66 |
66 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
23 |
12 |
$586.50 |
| 92025 |
|
12 |
12 |
$220.00 |
| 92285 |
|
12 |
12 |
$208.45 |
| 92083 |
|
42 |
39 |
$34.20 |