| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
13,401 |
12,792 |
$697K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
9,631 |
9,291 |
$363K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
7,534 |
7,108 |
$353K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
8,290 |
7,414 |
$194K |
| 65778 |
|
860 |
741 |
$137K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
3,971 |
3,226 |
$108K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,046 |
1,005 |
$90K |
| J9035 |
Injection, bevacizumab, 10 mg |
2,893 |
2,351 |
$75K |
| 92134 |
|
4,356 |
4,235 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,721 |
1,643 |
$43K |
| 99254 |
|
161 |
157 |
$16K |
| 92133 |
|
1,132 |
1,106 |
$16K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
325 |
275 |
$14K |
| 92201 |
|
797 |
625 |
$13K |
| 92015 |
Determination of refractive state |
876 |
841 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
579 |
565 |
$8K |
| 99233 |
Prolong inpt eval add15 m |
147 |
108 |
$8K |
| 92136 |
|
378 |
337 |
$7K |
| 92083 |
|
423 |
409 |
$7K |
| 92250 |
|
125 |
121 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
38 |
$1K |
| 92235 |
|
55 |
51 |
$1K |
| 68761 |
|
41 |
40 |
$1K |
| 92071 |
|
105 |
92 |
$932.47 |
| 92202 |
|
202 |
197 |
$872.69 |
| 92002 |
|
12 |
12 |
$675.02 |
| 92225 |
|
135 |
131 |
$665.01 |
| 93892 |
|
12 |
12 |
$452.75 |
| 92285 |
|
29 |
26 |
$363.74 |
| 93886 |
|
12 |
12 |
$32.80 |
| 93890 |
|
12 |
12 |
$31.55 |
| 2027F |
|
94 |
87 |
$0.00 |
| 4040F |
|
80 |
76 |
$0.00 |
| A4263 |
Permanent, long term, non-dissolvable lacrimal duct implant, each |
34 |
34 |
$0.00 |
| 92020 |
|
12 |
12 |
$0.00 |
| 3285F |
|
93 |
87 |
$0.00 |
| 1036F |
|
157 |
144 |
$0.00 |