| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
9,974 |
8,975 |
$424K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,654 |
5,053 |
$424K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,872 |
5,123 |
$398K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,077 |
2,873 |
$323K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,357 |
5,278 |
$314K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,467 |
2,231 |
$295K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
6,142 |
4,839 |
$287K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
1,201 |
900 |
$118K |
| 92285 |
|
9,526 |
7,948 |
$95K |
| 92133 |
|
3,221 |
2,891 |
$85K |
| 92083 |
|
2,481 |
2,218 |
$79K |
| V2020 |
Frames, purchases |
2,127 |
1,635 |
$70K |
| 68761 |
|
977 |
768 |
$69K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
173 |
100 |
$50K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,097 |
808 |
$41K |
| A4263 |
Permanent, long term, non-dissolvable lacrimal duct implant, each |
537 |
467 |
$35K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,833 |
1,368 |
$29K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
389 |
289 |
$29K |
| 92134 |
|
1,397 |
1,153 |
$27K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,926 |
1,445 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
250 |
233 |
$21K |
| 92136 |
|
631 |
504 |
$17K |
| 92020 |
|
702 |
620 |
$11K |
| J9035 |
Injection, bevacizumab, 10 mg |
224 |
177 |
$9K |
| 93892 |
|
48 |
45 |
$8K |
| 93890 |
|
48 |
45 |
$8K |
| 92025 |
|
381 |
318 |
$5K |
| 93886 |
|
48 |
45 |
$5K |
| 99215 |
Prolong outpt/office vis |
54 |
43 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
130 |
115 |
$4K |
| 76514 |
|
370 |
336 |
$3K |
| 92015 |
Determination of refractive state |
1,918 |
1,722 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
60 |
49 |
$2K |
| 66821 |
|
16 |
12 |
$2K |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
26 |
26 |
$2K |
| V2521 |
Contact lens, hydrophilic, toric, or prism ballast, per lens |
19 |
16 |
$2K |
| 92132 |
|
14 |
14 |
$399.56 |
| 92341 |
|
17 |
13 |
$340.32 |
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
12 |
12 |
$128.64 |
| 99072 |
|
4,129 |
3,660 |
$49.17 |