| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
36,351 |
30,201 |
$1.41M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
11,955 |
10,033 |
$706K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12,453 |
9,566 |
$260K |
| 92015 |
Determination of refractive state |
16,365 |
14,602 |
$183K |
| V2020 |
Frames, purchases |
8,999 |
8,391 |
$141K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
998 |
683 |
$133K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,936 |
2,264 |
$131K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,707 |
3,025 |
$101K |
| J9035 |
Injection, bevacizumab, 10 mg |
2,697 |
1,629 |
$69K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,516 |
4,221 |
$53K |
| 92134 |
|
7,430 |
4,100 |
$48K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,550 |
1,174 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,586 |
1,266 |
$32K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,212 |
2,709 |
$32K |
| 92136 |
|
2,785 |
1,570 |
$29K |
| 92060 |
|
946 |
769 |
$28K |
| 92250 |
|
1,580 |
839 |
$16K |
| 92083 |
|
822 |
422 |
$9K |
| 67228 |
|
36 |
26 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
229 |
174 |
$5K |
| 92025 |
|
547 |
343 |
$5K |
| 92202 |
|
1,071 |
859 |
$4K |
| 92226 |
|
721 |
392 |
$3K |
| 92225 |
|
598 |
275 |
$3K |
| V2799 |
Vision item or service, miscellaneous |
246 |
240 |
$2K |
| 92235 |
|
46 |
26 |
$1K |
| 99215 |
Prolong outpt/office vis |
36 |
25 |
$918.83 |
| 92133 |
|
66 |
41 |
$516.17 |
| 92002 |
|
16 |
12 |
$287.04 |
| 92285 |
|
41 |
12 |
$69.39 |
| 99080 |
|
13 |
13 |
$0.00 |
| 2023F |
|
938 |
889 |
$0.00 |
| 99024 |
|
1,048 |
794 |
$0.00 |
| 2033F |
|
12 |
12 |
$0.00 |
| 3072F |
|
56 |
55 |
$0.00 |