| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
70,269 |
59,516 |
$3.14M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
52,897 |
45,497 |
$2.85M |
| J0178 |
Injection, aflibercept, 1 mg |
3,391 |
2,242 |
$2.35M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
26,689 |
23,191 |
$1.51M |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
16,424 |
13,198 |
$1.40M |
| 99243 |
|
14,541 |
12,545 |
$1.28M |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
8,903 |
8,024 |
$1.18M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
11,132 |
9,384 |
$1.05M |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
14,131 |
11,842 |
$1.02M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
11,934 |
10,205 |
$806K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,149 |
5,139 |
$478K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
9,354 |
6,286 |
$419K |
| 92567 |
|
35,497 |
29,196 |
$379K |
| 92060 |
|
9,943 |
8,259 |
$341K |
| 92557 |
|
12,772 |
10,251 |
$313K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
2,084 |
1,651 |
$260K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
3,178 |
3,009 |
$227K |
| 92134 |
|
17,523 |
14,509 |
$184K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
923 |
847 |
$174K |
| 69210 |
|
4,918 |
4,314 |
$143K |
| 95117 |
|
12,307 |
5,814 |
$88K |
| 31575 |
|
1,247 |
1,090 |
$85K |
| 92587 |
|
3,329 |
2,783 |
$84K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,164 |
4,331 |
$78K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,908 |
1,776 |
$69K |
| 31231 |
|
746 |
615 |
$63K |
| 92579 |
|
1,680 |
1,514 |
$54K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,828 |
1,621 |
$53K |
| 92083 |
|
1,500 |
1,255 |
$50K |
| 92504 |
|
2,559 |
2,033 |
$44K |
| 95115 |
|
5,224 |
2,216 |
$32K |
| J9035 |
Injection, bevacizumab, 10 mg |
905 |
816 |
$23K |
| 92133 |
|
1,116 |
924 |
$21K |
| 92370 |
|
2,350 |
2,323 |
$21K |
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
27 |
19 |
$19K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
72 |
53 |
$15K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
278 |
146 |
$15K |
| 92015 |
Determination of refractive state |
1,670 |
1,530 |
$14K |
| 42830 |
|
112 |
107 |
$12K |
| 31622 |
|
164 |
150 |
$12K |
| 67311 |
|
14 |
13 |
$6K |
| 31615 |
|
65 |
58 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
46 |
42 |
$6K |
| 92136 |
|
261 |
226 |
$5K |
| 92020 |
|
552 |
468 |
$5K |
| 92511 |
|
45 |
41 |
$5K |
| 92250 |
|
173 |
132 |
$5K |
| 92588 |
|
121 |
100 |
$5K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
130 |
67 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
40 |
35 |
$3K |
| 99215 |
Prolong outpt/office vis |
29 |
25 |
$3K |
| 99252 |
|
37 |
36 |
$2K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
28 |
25 |
$2K |
| 99253 |
|
18 |
12 |
$2K |
| 92235 |
|
30 |
26 |
$2K |
| 99242 |
|
19 |
19 |
$1K |
| 92555 |
|
128 |
114 |
$1K |
| 99221 |
|
17 |
13 |
$1K |
| 92226 |
|
250 |
109 |
$955.52 |
| 76514 |
|
72 |
57 |
$447.35 |
| 92556 |
|
12 |
12 |
$154.05 |
| 92225 |
|
39 |
31 |
$100.66 |
| 92201 |
|
96 |
50 |
$25.62 |
| 99072 |
|
122 |
122 |
$0.00 |
| 92586 |
|
41 |
40 |
$0.00 |