| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13,616 |
13,456 |
$723K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
10,306 |
10,278 |
$488K |
| J0178 |
Injection, aflibercept, 1 mg |
503 |
418 |
$440K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
19,304 |
18,983 |
$372K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
7,478 |
7,441 |
$341K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
7,411 |
6,616 |
$289K |
| V2020 |
Frames, purchases |
10,482 |
10,409 |
$285K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,820 |
2,801 |
$188K |
| 92015 |
Determination of refractive state |
17,095 |
17,007 |
$185K |
| 92341 |
|
6,064 |
6,001 |
$135K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,706 |
1,690 |
$126K |
| 92134 |
|
7,886 |
7,668 |
$118K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,218 |
2,070 |
$90K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,576 |
1,536 |
$88K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
298 |
230 |
$79K |
| 92083 |
|
2,506 |
2,473 |
$68K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,789 |
1,528 |
$67K |
| 92133 |
|
3,287 |
3,253 |
$51K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,183 |
5,154 |
$49K |
| 92250 |
|
1,521 |
1,497 |
$29K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,511 |
2,493 |
$20K |
| 92136 |
|
856 |
817 |
$18K |
| 92370 |
|
930 |
925 |
$15K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,174 |
1,161 |
$13K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
740 |
734 |
$10K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
665 |
663 |
$9K |
| 68761 |
|
102 |
99 |
$8K |
| 92025 |
|
560 |
552 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
148 |
146 |
$8K |
| 92002 |
|
158 |
157 |
$6K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
456 |
450 |
$3K |
| J3590 |
Unclassified biologics |
105 |
93 |
$3K |
| 92060 |
|
46 |
45 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
64 |
56 |
$1K |
| 76514 |
|
144 |
143 |
$715.53 |
| V2744 |
Tint, photochromatic, per lens |
51 |
51 |
$504.40 |
| V2108 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
28 |
27 |
$353.27 |
| 92310 |
|
62 |
61 |
$340.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
7,044 |
6,971 |
$153.00 |
| V2781 |
Progressive lens, per lens |
269 |
266 |
$102.00 |
| V2750 |
Anti-reflective coating, per lens |
290 |
288 |
$69.30 |
| V2755 |
U-v lens, per lens |
14 |
14 |
$1.96 |
| V2025 |
Deluxe frame |
31 |
31 |
$0.00 |
| V2756 |
Eye glass case |
90 |
89 |
$0.00 |