| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
20,057 |
19,787 |
$702K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
11,671 |
11,278 |
$313K |
| J9035 |
Injection, bevacizumab, 10 mg |
7,124 |
6,711 |
$246K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,265 |
2,216 |
$212K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
4,831 |
4,546 |
$189K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
7,693 |
7,134 |
$161K |
| 92134 |
|
8,188 |
8,008 |
$92K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,678 |
1,543 |
$64K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,659 |
2,562 |
$61K |
| V2020 |
Frames, purchases |
4,416 |
4,278 |
$59K |
| 92250 |
|
3,261 |
3,230 |
$58K |
| 92133 |
|
2,243 |
2,226 |
$27K |
| 92083 |
|
1,751 |
1,742 |
$22K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,038 |
995 |
$22K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
487 |
462 |
$10K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
297 |
286 |
$6K |
| 92015 |
Determination of refractive state |
452 |
452 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
185 |
183 |
$3K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
249 |
159 |
$3K |
| V2025 |
Deluxe frame |
343 |
336 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
468 |
463 |
$3K |
| 76519 |
|
51 |
30 |
$1K |
| CP005 |
|
20 |
12 |
$980.00 |
| V2744 |
Tint, photochromatic, per lens |
146 |
142 |
$942.12 |
| 92002 |
|
13 |
13 |
$700.90 |
| 92020 |
|
96 |
95 |
$569.31 |
| 92136 |
|
32 |
25 |
$493.17 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
27 |
27 |
$386.98 |
| CP003 |
|
40 |
24 |
$221.47 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
55 |
51 |
$90.96 |
| 3072F |
|
81 |
81 |
$0.00 |
| J7999 |
Compounded drug, not otherwise classified |
82 |
82 |
$0.00 |
| 3284F |
|
203 |
202 |
$0.00 |
| 2023F |
|
13 |
12 |
$0.00 |
| 4177F |
|
33 |
33 |
$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 |
30 |
30 |
$0.00 |
| 2027F |
|
204 |
203 |
$0.00 |
| 5010F |
|
66 |
66 |
$0.00 |
| 2022F |
|
167 |
160 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
80 |
79 |
$0.00 |
| 99490 |
Ccm add 20min |
14 |
14 |
$0.00 |