| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
9,154 |
8,766 |
$514K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,557 |
6,418 |
$438K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,703 |
4,496 |
$280K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
244 |
176 |
$80K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
835 |
802 |
$57K |
| 92060 |
|
1,872 |
1,805 |
$28K |
| V2020 |
Frames, purchases |
151 |
151 |
$22K |
| 92015 |
Determination of refractive state |
16,488 |
15,967 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
229 |
206 |
$12K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
58 |
49 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
205 |
197 |
$8K |
| 92134 |
|
1,367 |
1,150 |
$7K |
| 92136 |
|
68 |
64 |
$1K |
| 92133 |
|
93 |
91 |
$1K |
| 92285 |
|
102 |
102 |
$1K |
| 92083 |
|
12 |
12 |
$439.68 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
152 |
92 |
$161.07 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
58 |
37 |
$94.26 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
19 |
13 |
$81.29 |