| Code | Description | Claims | Beneficiaries | Total Paid |
| 67028 |
Intravitreal injection of a pharmacologic agent |
8,599 |
5,638 |
$483K |
| 92134 |
|
14,674 |
14,261 |
$291K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
806 |
699 |
$268K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
9,270 |
8,769 |
$266K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,112 |
6,915 |
$259K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,875 |
8,279 |
$247K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,646 |
2,607 |
$128K |
| 92235 |
|
3,256 |
3,144 |
$119K |
| 92250 |
|
3,807 |
3,674 |
$110K |
| J9035 |
Injection, bevacizumab, 10 mg |
4,773 |
3,398 |
$102K |
| 92083 |
|
2,679 |
2,630 |
$99K |
| 65855 |
|
694 |
573 |
$88K |
| V2020 |
Frames, purchases |
3,451 |
2,892 |
$70K |
| 67210 |
|
374 |
330 |
$69K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
708 |
702 |
$60K |
| 92133 |
|
2,588 |
2,543 |
$53K |
| V2199 |
Not otherwise classified, single vision lens |
1,558 |
647 |
$42K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,687 |
1,584 |
$39K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,328 |
1,828 |
$32K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
858 |
352 |
$23K |
| 67228 |
|
88 |
59 |
$23K |
| 92201 |
|
1,794 |
1,704 |
$18K |
| 92020 |
|
1,769 |
1,739 |
$17K |
| 92060 |
|
491 |
485 |
$15K |
| 67145 |
|
132 |
129 |
$15K |
| 92202 |
|
1,406 |
1,391 |
$10K |
| 92136 |
|
497 |
457 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
93 |
93 |
$6K |
| 66821 |
|
52 |
47 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
180 |
168 |
$5K |
| 76514 |
|
630 |
621 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
122 |
54 |
$3K |
| V2102 |
Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens |
73 |
72 |
$3K |
| 67220 |
|
12 |
12 |
$3K |
| 65600 |
|
24 |
24 |
$2K |
| 99215 |
Prolong outpt/office vis |
52 |
52 |
$2K |
| 92015 |
Determination of refractive state |
630 |
616 |
$1K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
34 |
12 |
$909.16 |
| V2299 |
Specialty bifocal (by report) |
24 |
12 |
$875.52 |
| 76519 |
|
16 |
14 |
$602.26 |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
13 |
13 |
$390.00 |
| 92226 |
|
816 |
397 |
$211.34 |
| 92225 |
|
24 |
12 |
$0.00 |
| 83861 |
|
359 |
173 |
$0.00 |
| J7999 |
Compounded drug, not otherwise classified |
1,275 |
861 |
$0.00 |
| 99024 |
|
41 |
38 |
$0.00 |