| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Injection, aflibercept, 1 mg |
1,197 |
830 |
$1.32M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
15,172 |
14,823 |
$611K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
1,291 |
1,108 |
$367K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,895 |
10,066 |
$356K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,083 |
6,011 |
$277K |
| 92015 |
Determination of refractive state |
15,092 |
14,781 |
$259K |
| 92250 |
|
9,125 |
8,852 |
$245K |
| 92083 |
|
9,199 |
8,912 |
$190K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,547 |
1,514 |
$108K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,020 |
1,443 |
$107K |
| 92134 |
|
3,728 |
3,427 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,051 |
1,009 |
$40K |
| 66821 |
|
487 |
364 |
$36K |
| 92133 |
|
1,937 |
1,863 |
$29K |
| 76512 |
|
729 |
672 |
$28K |
| 92020 |
|
2,426 |
2,353 |
$25K |
| 92136 |
|
744 |
708 |
$22K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
982 |
978 |
$16K |
| 65855 |
|
110 |
72 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
207 |
178 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
92 |
90 |
$3K |
| 65820 |
|
15 |
12 |
$3K |
| 92341 |
|
123 |
122 |
$2K |
| J9035 |
Injection, bevacizumab, 10 mg |
116 |
79 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$2K |
| 68200 |
|
332 |
238 |
$840.56 |
| 92225 |
|
36 |
36 |
$785.59 |
| 76514 |
|
111 |
105 |
$757.84 |
| 92132 |
|
40 |
40 |
$713.14 |
| V2020 |
Frames, purchases |
4,423 |
4,401 |
$300.00 |
| 92201 |
|
135 |
123 |
$294.35 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,107 |
2,042 |
$84.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,772 |
2,417 |
$15.20 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
637 |
322 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
1,404 |
698 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,437 |
753 |
$0.00 |
| 99024 |
|
144 |
131 |
$0.00 |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
12 |
12 |
$0.00 |