| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,338 |
3,054 |
$174K |
| 92134 |
|
2,068 |
1,885 |
$48K |
| 92250 |
|
1,210 |
1,128 |
$40K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
278 |
264 |
$22K |
| V2020 |
Frames, purchases |
341 |
294 |
$14K |
| 92082 |
|
363 |
342 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
245 |
206 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
84 |
75 |
$7K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
53 |
38 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
420 |
218 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
117 |
107 |
$3K |
| 92083 |
|
79 |
77 |
$3K |
| 92133 |
|
145 |
133 |
$2K |
| 92015 |
Determination of refractive state |
340 |
313 |
$2K |
| J7999 |
Compounded drug, not otherwise classified |
30 |
24 |
$1K |
| 83861 |
|
31 |
20 |
$509.56 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
15 |
13 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
13 |
13 |
$0.00 |
| V2025 |
Deluxe frame |
77 |
77 |
$0.00 |
| S9999 |
Sales tax |
35 |
33 |
$0.00 |