| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
817 |
757 |
$1.43M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
9,051 |
9,007 |
$376K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
13,252 |
6,473 |
$264K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,991 |
4,972 |
$210K |
| V2020 |
Frames, purchases |
15,772 |
15,258 |
$186K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,875 |
3,769 |
$175K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,749 |
1,734 |
$155K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,541 |
1,399 |
$141K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,317 |
2,139 |
$85K |
| 92250 |
|
1,803 |
1,770 |
$60K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,710 |
857 |
$46K |
| 92134 |
|
1,295 |
1,266 |
$34K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
606 |
606 |
$33K |
| 92083 |
|
672 |
667 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
666 |
587 |
$24K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
647 |
322 |
$13K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
32,827 |
15,906 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
78 |
78 |
$10K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
19 |
12 |
$9K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
411 |
199 |
$8K |
| J9035 |
Injection, bevacizumab, 10 mg |
90 |
86 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
80 |
73 |
$5K |
| 68761 |
|
27 |
27 |
$3K |
| 92133 |
|
94 |
94 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
62 |
62 |
$2K |
| 92015 |
Determination of refractive state |
842 |
841 |
$765.84 |
| 2022F |
|
77 |
76 |
$0.00 |
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
24 |
12 |
$0.00 |