| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92285 |
|
6,971 |
6,063 |
$144K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,274 |
2,903 |
$138K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,161 |
2,073 |
$133K |
| 92133 |
|
5,293 |
5,097 |
$85K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
849 |
819 |
$77K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
952 |
718 |
$57K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,210 |
757 |
$48K |
| 92250 |
|
6,429 |
5,649 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
508 |
491 |
$32K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,837 |
4,113 |
$24K |
| V2020 |
Frames, purchases |
1,345 |
1,205 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,243 |
1,138 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
124 |
118 |
$10K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
504 |
452 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
398 |
345 |
$6K |
| 92134 |
|
5,467 |
5,234 |
$6K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
26 |
13 |
$2K |
| 92083 |
|
29 |
29 |
$1K |
| J9035 |
Injection, bevacizumab, 10 mg |
21 |
12 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
56 |
53 |
$790.70 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
35 |
29 |
$175.00 |