| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13,219 |
12,395 |
$655K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,054 |
6,528 |
$442K |
| 92015 |
Determination of refractive state |
13,244 |
12,657 |
$346K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,019 |
6,722 |
$200K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
2,122 |
1,659 |
$187K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
5,009 |
4,229 |
$79K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,028 |
3,821 |
$73K |
| V2020 |
Frames, purchases |
5,202 |
4,870 |
$69K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,292 |
967 |
$53K |
| 92134 |
|
4,298 |
3,551 |
$40K |
| 92136 |
|
3,179 |
2,411 |
$21K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,453 |
867 |
$20K |
| 92250 |
|
460 |
431 |
$8K |
| 76519 |
|
874 |
700 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
90 |
86 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
446 |
409 |
$383.00 |
| 92083 |
|
15 |
12 |
$339.63 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
12 |
$339.38 |
| V2744 |
Tint, photochromatic, per lens |
24 |
24 |
$0.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
27 |
16 |
$0.00 |
| 3072F |
|
48 |
43 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
72 |
61 |
$0.00 |