| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
7,891 |
7,542 |
$204K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,112 |
5,106 |
$114K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
245 |
197 |
$52K |
| V2020 |
Frames, purchases |
2,528 |
2,527 |
$26K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,319 |
1,316 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
586 |
586 |
$24K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
55 |
54 |
$21K |
| 92083 |
|
962 |
957 |
$20K |
| 92015 |
Determination of refractive state |
4,718 |
4,715 |
$19K |
| 92133 |
|
860 |
849 |
$17K |
| 92134 |
|
853 |
836 |
$16K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,138 |
2,137 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
266 |
265 |
$12K |
| J9035 |
Injection, bevacizumab, 10 mg |
197 |
157 |
$5K |
| 92250 |
|
31 |
31 |
$918.49 |
| 92136 |
|
14 |
12 |
$548.13 |
| 1036F |
|
192 |
191 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
27 |
27 |
$0.00 |