| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,593 |
1,453 |
$93K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,057 |
1,007 |
$85K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,571 |
3,267 |
$76K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,924 |
1,405 |
$54K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
768 |
739 |
$48K |
| 92341 |
|
1,359 |
1,325 |
$47K |
| 92134 |
|
2,733 |
1,633 |
$34K |
| 92015 |
Determination of refractive state |
2,534 |
2,413 |
$32K |
| 92133 |
|
2,404 |
1,465 |
$30K |
| V2025 |
Deluxe frame |
116 |
116 |
$21K |
| 92250 |
|
940 |
664 |
$19K |
| 92083 |
|
1,029 |
679 |
$18K |
| 92286 |
|
1,090 |
693 |
$13K |
| 92275 |
|
283 |
184 |
$11K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
231 |
231 |
$8K |
| 65855 |
|
115 |
91 |
$7K |
| 92273 |
|
136 |
97 |
$6K |
| V2020 |
Frames, purchases |
136 |
136 |
$4K |
| J9035 |
Injection, bevacizumab, 10 mg |
52 |
48 |
$4K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
13 |
12 |
$3K |
| 95930 |
|
66 |
39 |
$3K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
54 |
50 |
$3K |
| 92145 |
|
186 |
136 |
$1K |
| 92100 |
|
33 |
31 |
$651.10 |