| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,715 |
2,598 |
$104K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,040 |
1,992 |
$89K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,931 |
2,557 |
$70K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,961 |
1,848 |
$67K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
618 |
583 |
$37K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,148 |
1,556 |
$36K |
| J9035 |
Injection, bevacizumab, 10 mg |
753 |
566 |
$32K |
| 17110 |
|
428 |
340 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
345 |
326 |
$16K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
349 |
303 |
$13K |
| 92250 |
|
1,096 |
959 |
$10K |
| 92134 |
|
1,339 |
1,170 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
256 |
248 |
$6K |
| 92015 |
Determination of refractive state |
935 |
862 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
78 |
76 |
$3K |
| 99201 |
|
54 |
54 |
$2K |
| 11102 |
|
25 |
25 |
$1K |
| 92235 |
|
62 |
52 |
$977.08 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$861.44 |
| 11100 |
|
12 |
12 |
$643.12 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
25 |
25 |
$527.17 |
| 92002 |
|
15 |
13 |
$511.70 |
| 17000 |
|
12 |
12 |
$238.47 |
| J7999 |
Compounded drug, not otherwise classified |
18 |
13 |
$178.20 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
26 |
25 |
$92.56 |
| 99072 |
|
149 |
116 |
$0.00 |