| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
19,376 |
15,968 |
$869K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
22,744 |
16,888 |
$576K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,091 |
6,554 |
$485K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
3,267 |
1,969 |
$160K |
| 92285 |
|
5,842 |
4,968 |
$129K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,878 |
2,489 |
$109K |
| J9035 |
Injection, bevacizumab, 10 mg |
3,280 |
1,912 |
$94K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,525 |
1,376 |
$77K |
| 92250 |
|
7,261 |
5,995 |
$75K |
| 92133 |
|
4,694 |
4,348 |
$71K |
| 92083 |
|
2,438 |
2,172 |
$66K |
| V2020 |
Frames, purchases |
3,213 |
3,121 |
$57K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
672 |
615 |
$52K |
| 68761 |
|
1,350 |
670 |
$47K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,276 |
1,259 |
$40K |
| 92235 |
|
1,240 |
1,111 |
$37K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,612 |
3,164 |
$30K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,476 |
2,385 |
$26K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
689 |
634 |
$23K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
744 |
730 |
$22K |
| 65855 |
|
366 |
235 |
$20K |
| 92134 |
|
5,189 |
4,450 |
$17K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
714 |
602 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
282 |
267 |
$15K |
| 92020 |
|
1,979 |
1,456 |
$9K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
51 |
37 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
98 |
92 |
$2K |
| 76519 |
|
138 |
94 |
$2K |
| 92025 |
|
78 |
73 |
$913.01 |
| V2025 |
Deluxe frame |
42 |
42 |
$896.79 |
| 76514 |
|
16 |
14 |
$53.92 |
| A4263 |
Permanent, long term, non-dissolvable lacrimal duct implant, each |
12 |
12 |
$0.00 |
| 2027F |
|
12 |
12 |
$0.00 |