| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,475 |
2,391 |
$190K |
| V2020 |
Frames, purchases |
1,097 |
1,089 |
$77K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,314 |
1,152 |
$73K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
503 |
485 |
$52K |
| 92015 |
Determination of refractive state |
3,705 |
3,569 |
$47K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,040 |
1,035 |
$33K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
562 |
338 |
$14K |
| 92134 |
|
981 |
787 |
$10K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
288 |
218 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
151 |
134 |
$3K |
| J9035 |
Injection, bevacizumab, 10 mg |
23 |
13 |
$427.97 |