| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Aflibercept injection |
1,490 |
1,419 |
$1.86M |
| 92014 |
|
29,600 |
29,162 |
$1.63M |
| 92004 |
|
20,346 |
20,191 |
$1.42M |
| 66984 |
|
2,779 |
2,527 |
$613K |
| 99213 |
|
12,001 |
11,272 |
$487K |
| 99214 |
|
9,561 |
9,145 |
$486K |
| 92015 |
|
50,778 |
50,218 |
$458K |
| 99204 |
|
4,828 |
4,730 |
$346K |
| S0620 |
Routine ophthalmological exa |
6,922 |
6,876 |
$291K |
| S0621 |
Routine ophthalmological exa |
5,582 |
5,546 |
$237K |
| 92012 |
|
5,237 |
4,867 |
$205K |
| 99203 |
|
3,575 |
3,519 |
$200K |
| 67028 |
|
4,119 |
3,852 |
$182K |
| 92134 |
|
9,194 |
8,825 |
$156K |
| V2020 |
Vision svcs frames purchases |
5,133 |
5,092 |
$118K |
| 92083 |
|
3,908 |
3,846 |
$114K |
| 92060 |
|
2,510 |
2,484 |
$88K |
| 92133 |
|
4,171 |
4,109 |
$72K |
| J9035 |
Bevacizumab injection |
1,137 |
1,045 |
$67K |
| 92002 |
|
1,470 |
1,403 |
$63K |
| 92340 |
|
3,902 |
3,893 |
$61K |
| 92136 |
|
3,088 |
2,994 |
$59K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
2,697 |
2,684 |
$29K |
| 92250 |
|
1,328 |
1,309 |
$23K |
| J3590 |
Unclassified biologics |
239 |
226 |
$15K |
| 99212 |
|
587 |
559 |
$15K |
| 92341 |
|
666 |
665 |
$12K |
| 66821 |
|
58 |
51 |
$8K |
| V2100 |
Lens spher single plano 4.00 |
678 |
675 |
$6K |
| 92310 |
|
344 |
342 |
$5K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
428 |
426 |
$5K |
| 92020 |
|
336 |
331 |
$4K |
| 76514 |
|
672 |
671 |
$4K |
| 92235 |
|
55 |
55 |
$4K |
| 67228 |
|
14 |
12 |
$3K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
206 |
203 |
$2K |
| 99202 |
|
39 |
39 |
$2K |
| 92285 |
|
99 |
93 |
$905.23 |
| V2107 |
Spherocylinder 4.25d/12-2d |
35 |
35 |
$453.39 |
| V2784 |
Lens polycarb or equal |
594 |
587 |
$441.80 |
| V2200 |
Lens spher bifoc plano 4.00d |
28 |
28 |
$133.33 |
| V2108 |
Spherocylinder 4.25d/2.12-4d |
13 |
13 |
$103.25 |
| V2755 |
Uv lens/es |
109 |
108 |
$7.44 |
| V2760 |
Scratch resistant coating |
38 |
38 |
$0.00 |
| 2022F |
|
33 |
32 |
$0.00 |
| 2023F |
|
27 |
27 |
$0.00 |