| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
15,827 |
13,832 |
$875K |
| J2778 |
Injection, ranibizumab, 0.1 mg |
1,033 |
661 |
$422K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,637 |
4,317 |
$317K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,984 |
3,670 |
$165K |
| 92015 |
Determination of refractive state |
10,831 |
8,777 |
$125K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
3,116 |
2,126 |
$107K |
| J0178 |
Injection, aflibercept, 1 mg |
145 |
98 |
$64K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,901 |
1,866 |
$62K |
| V2025 |
Deluxe frame |
1,419 |
1,386 |
$59K |
| 92134 |
|
3,550 |
2,814 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
593 |
521 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
193 |
133 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
606 |
605 |
$3K |
| V2020 |
Frames, purchases |
123 |
123 |
$2K |
| 92083 |
|
15 |
13 |
$486.10 |
| 92285 |
|
13 |
12 |
$191.98 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
30 |
28 |
$122.64 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
13 |
13 |
$104.50 |
| 99072 |
|
84 |
74 |
$15.84 |
| V2750 |
Anti-reflective coating, per lens |
12 |
12 |
$10.53 |
| 99199 |
Unlisted special service, procedure or report |
2,662 |
2,607 |
$1.50 |