| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
11,616 |
10,708 |
$385K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,998 |
7,500 |
$281K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
5,455 |
5,036 |
$144K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,174 |
2,036 |
$128K |
| V2020 |
Frames, purchases |
4,468 |
4,166 |
$120K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
5,444 |
4,873 |
$119K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,315 |
4,927 |
$116K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,071 |
984 |
$116K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,270 |
1,171 |
$80K |
| 99243 |
|
895 |
813 |
$68K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,049 |
2,264 |
$65K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,986 |
1,411 |
$59K |
| J0178 |
Injection, aflibercept, 1 mg |
128 |
78 |
$49K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,310 |
1,268 |
$34K |
| 92060 |
|
1,045 |
982 |
$31K |
| 92134 |
|
3,493 |
2,907 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
334 |
306 |
$13K |
| V2025 |
Deluxe frame |
50 |
41 |
$5K |
| 92020 |
|
695 |
637 |
$4K |
| J9035 |
Injection, bevacizumab, 10 mg |
386 |
238 |
$3K |
| 92083 |
|
206 |
180 |
$2K |
| 99215 |
Prolong outpt/office vis |
28 |
27 |
$2K |
| 92285 |
|
103 |
95 |
$2K |
| 92250 |
|
113 |
106 |
$2K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
122 |
66 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
28 |
$2K |
| 92136 |
|
59 |
50 |
$1K |
| 92225 |
|
96 |
90 |
$809.34 |
| 92133 |
|
58 |
54 |
$676.13 |
| V2799 |
Vision item or service, miscellaneous |
13 |
13 |
$500.00 |
| 92202 |
|
16 |
15 |
$29.82 |