| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
5,019 |
4,996 |
$57K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,847 |
2,819 |
$42K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
369 |
364 |
$39K |
| V2020 |
Frames, purchases |
2,915 |
2,915 |
$27K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,601 |
1,593 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,713 |
1,693 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,087 |
2,025 |
$16K |
| 92341 |
|
1,067 |
1,067 |
$15K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,530 |
1,528 |
$15K |
| J9035 |
Injection, bevacizumab, 10 mg |
367 |
279 |
$9K |
| 92015 |
Determination of refractive state |
4,284 |
4,264 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
291 |
291 |
$6K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
13 |
12 |
$2K |
| V2025 |
Deluxe frame |
13 |
13 |
$939.00 |
| 92083 |
|
103 |
102 |
$926.89 |
| 92020 |
|
44 |
44 |
$466.18 |
| 92134 |
|
82 |
82 |
$443.27 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
96 |
95 |
$309.06 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13 |
12 |
$150.92 |
| 92002 |
|
12 |
12 |
$111.08 |
| 99024 |
|
16 |
14 |
$0.01 |