| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,787 |
6,711 |
$186K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,039 |
3,988 |
$103K |
| V2020 |
Frames, purchases |
8,122 |
8,055 |
$100K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,755 |
3,752 |
$99K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,653 |
1,637 |
$94K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
132 |
127 |
$65K |
| 92341 |
|
3,441 |
3,433 |
$53K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,078 |
4,067 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,092 |
1,066 |
$43K |
| 92015 |
Determination of refractive state |
10,834 |
10,795 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,706 |
1,634 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
355 |
354 |
$16K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
57 |
55 |
$12K |
| 92134 |
|
329 |
324 |
$6K |
| 92083 |
|
251 |
250 |
$6K |
| 92133 |
|
253 |
251 |
$4K |
| 67228 |
|
13 |
12 |
$3K |
| 92250 |
|
123 |
123 |
$2K |
| J9035 |
Injection, bevacizumab, 10 mg |
28 |
28 |
$1K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
15 |
15 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
14 |
12 |
$732.48 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
13 |
13 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
29 |
29 |
$0.00 |