| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,052 |
1,996 |
$73K |
| V2020 |
Frames, purchases |
1,429 |
1,293 |
$64K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,278 |
1,012 |
$61K |
| 92134 |
|
982 |
930 |
$24K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
605 |
585 |
$24K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
144 |
133 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
385 |
352 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
57 |
53 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,078 |
452 |
$3K |
| V2750 |
Anti-reflective coating, per lens |
109 |
55 |
$2K |
| 92083 |
|
24 |
24 |
$752.20 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
16 |
$653.02 |