| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,377 |
4,970 |
$521K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,028 |
2,769 |
$200K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,138 |
1,087 |
$173K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,026 |
949 |
$127K |
| V2020 |
Frames, purchases |
1,817 |
1,754 |
$120K |
| 92250 |
|
3,251 |
2,992 |
$110K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,737 |
1,400 |
$93K |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
1,297 |
1,249 |
$71K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,673 |
1,371 |
$59K |
| 92134 |
|
3,133 |
2,620 |
$50K |
| 92015 |
Determination of refractive state |
6,028 |
5,761 |
$29K |
| J0178 |
Injection, aflibercept, 1 mg |
29 |
27 |
$27K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
599 |
576 |
$10K |
| 92083 |
|
218 |
206 |
$10K |
| 92133 |
|
294 |
270 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
124 |
121 |
$6K |
| J7999 |
Compounded drug, not otherwise classified |
98 |
79 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
37 |
37 |
$980.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
19 |
17 |
$736.38 |
| 92136 |
|
27 |
24 |
$557.10 |
| J9035 |
Injection, bevacizumab, 10 mg |
13 |
12 |
$503.49 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
26 |
26 |
$407.10 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
14 |
14 |
$267.68 |