| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,283 |
1,171 |
$103K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
671 |
610 |
$70K |
| J0178 |
Injection, aflibercept, 1 mg |
14 |
12 |
$14K |
| 92134 |
|
565 |
444 |
$8K |
| 92015 |
Determination of refractive state |
2,750 |
2,528 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
129 |
99 |
$5K |
| V2020 |
Frames, purchases |
66 |
54 |
$3K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
45 |
37 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
80 |
65 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
25 |
24 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
38 |
37 |
$829.48 |
| V2750 |
Anti-reflective coating, per lens |
26 |
25 |
$783.80 |