| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
671 |
583 |
$189K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,754 |
5,642 |
$112K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,782 |
1,770 |
$36K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,075 |
982 |
$23K |
| 92136 |
|
1,399 |
1,282 |
$22K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
237 |
193 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
172 |
161 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
334 |
293 |
$7K |
| 92134 |
|
260 |
245 |
$4K |
| 92015 |
Determination of refractive state |
2,998 |
2,968 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
129 |
121 |
$2K |
| 92226 |
|
99 |
50 |
$2K |
| 92202 |
|
338 |
332 |
$1K |
| J9035 |
Injection, bevacizumab, 10 mg |
55 |
41 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
25 |
25 |
$500.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
22 |
$427.76 |
| 92083 |
|
28 |
28 |
$331.80 |
| 92133 |
|
12 |
12 |
$93.88 |
| V2020 |
Frames, purchases |
2,894 |
2,858 |
$20.00 |
| 99024 |
|
128 |
112 |
$2.00 |
| V2750 |
Anti-reflective coating, per lens |
838 |
413 |
$0.00 |
| 99072 |
|
19 |
18 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
80 |
38 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,204 |
1,089 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,221 |
1,100 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
322 |
159 |
$0.00 |
| V2299 |
Specialty bifocal (by report) |
86 |
43 |
$0.00 |
| V2781 |
Progressive lens, per lens |
86 |
43 |
$0.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
24 |
12 |
$0.00 |