| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
1,114 |
977 |
$86K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
15,761 |
15,750 |
$69K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13,461 |
13,456 |
$47K |
| 92015 |
Determination of refractive state |
31,224 |
31,182 |
$33K |
| V2020 |
Frames, purchases |
17,108 |
17,066 |
$27K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,852 |
1,686 |
$21K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
13,237 |
13,199 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,450 |
5,155 |
$19K |
| 92134 |
|
3,985 |
3,811 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,577 |
1,524 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
742 |
740 |
$5K |
| 92341 |
|
1,927 |
1,921 |
$4K |
| 92136 |
|
960 |
942 |
$4K |
| 92250 |
|
1,579 |
1,571 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
344 |
319 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,551 |
1,509 |
$1K |
| 92083 |
|
303 |
298 |
$860.80 |
| 92002 |
|
83 |
82 |
$497.85 |
| J9035 |
Injection, bevacizumab, 10 mg |
166 |
142 |
$424.59 |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$343.12 |
| 92133 |
|
51 |
51 |
$151.41 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
17 |
$0.00 |
| 76514 |
|
12 |
12 |
$0.00 |