| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,686 |
1,538 |
$69K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
439 |
413 |
$33K |
| 92015 |
Determination of refractive state |
1,845 |
1,697 |
$30K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
774 |
399 |
$24K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
738 |
726 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
500 |
430 |
$10K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
349 |
284 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
783 |
403 |
$8K |
| V2020 |
Frames, purchases |
523 |
514 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
449 |
368 |
$5K |
| 92134 |
|
590 |
528 |
$4K |
| J9035 |
Injection, bevacizumab, 10 mg |
301 |
201 |
$3K |
| 99215 |
Prolong outpt/office vis |
42 |
39 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33 |
26 |
$962.32 |
| 92136 |
|
132 |
63 |
$935.58 |
| 2026F |
|
13 |
13 |
$0.00 |