| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,715 |
7,631 |
$382K |
| 65778 |
|
713 |
481 |
$379K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,857 |
5,660 |
$322K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,735 |
3,728 |
$257K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,600 |
5,308 |
$192K |
| 92083 |
|
6,689 |
6,649 |
$184K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
397 |
232 |
$120K |
| 92015 |
Determination of refractive state |
10,521 |
10,443 |
$104K |
| 83861 |
|
6,498 |
3,666 |
$88K |
| 92250 |
|
4,769 |
4,740 |
$88K |
| 92134 |
|
5,005 |
4,642 |
$81K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,098 |
2,072 |
$77K |
| 92133 |
|
4,704 |
4,687 |
$76K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,841 |
1,512 |
$59K |
| 65855 |
|
572 |
366 |
$58K |
| V2020 |
Frames, purchases |
2,085 |
2,079 |
$57K |
| J0178 |
Injection, aflibercept, 1 mg |
59 |
50 |
$46K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,078 |
1,962 |
$43K |
| 92235 |
|
568 |
561 |
$29K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
541 |
540 |
$23K |
| 83516 |
|
2,911 |
1,585 |
$23K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,269 |
1,266 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
182 |
182 |
$18K |
| 92136 |
|
652 |
523 |
$15K |
| 92020 |
|
1,057 |
1,056 |
$14K |
| J9035 |
Injection, bevacizumab, 10 mg |
361 |
327 |
$13K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
271 |
271 |
$9K |
| 92132 |
|
604 |
601 |
$9K |
| 92201 |
|
731 |
725 |
$6K |
| 76514 |
|
833 |
830 |
$5K |
| 92341 |
|
183 |
182 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
461 |
453 |
$4K |
| 92225 |
|
94 |
87 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
108 |
108 |
$904.04 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
79 |
79 |
$802.64 |
| J3590 |
Unclassified biologics |
13 |
12 |
$545.20 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
26 |
26 |
$257.06 |
| 2022F |
|
2,798 |
2,734 |
$1.16 |
| 2023F |
|
2,113 |
2,096 |
$1.07 |
| 3072F |
|
1,096 |
1,086 |
$0.50 |
| 5010F |
|
325 |
312 |
$0.00 |
| G8397 |
Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy |
305 |
292 |
$0.00 |
| 99024 |
|
875 |
555 |
$0.00 |