| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,036 |
3,967 |
$165K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,162 |
2,139 |
$139K |
| 68761 |
|
2,418 |
1,116 |
$88K |
| 92134 |
|
3,900 |
3,846 |
$73K |
| 92250 |
|
2,459 |
2,389 |
$73K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,256 |
1,011 |
$62K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,909 |
1,812 |
$60K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
198 |
182 |
$36K |
| 92235 |
|
830 |
821 |
$35K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,127 |
918 |
$32K |
| 92226 |
|
2,803 |
1,721 |
$31K |
| 67228 |
|
127 |
107 |
$29K |
| 92273 |
|
700 |
697 |
$28K |
| 92083 |
|
793 |
784 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
458 |
449 |
$23K |
| 92225 |
|
1,352 |
932 |
$21K |
| 92242 |
|
185 |
177 |
$20K |
| 92202 |
|
3,072 |
2,827 |
$16K |
| 92133 |
|
774 |
769 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
692 |
668 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
429 |
420 |
$12K |
| 92020 |
|
1,146 |
1,131 |
$10K |
| 92285 |
|
384 |
376 |
$9K |
| 92286 |
|
261 |
259 |
$8K |
| 76519 |
|
315 |
306 |
$7K |
| 92275 |
|
115 |
114 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
73 |
73 |
$5K |
| 93880 |
|
119 |
114 |
$4K |
| 92025 |
|
386 |
381 |
$4K |
| 93892 |
|
132 |
126 |
$4K |
| 93886 |
|
132 |
126 |
$4K |
| 93890 |
|
133 |
127 |
$4K |
| 66982 |
|
15 |
15 |
$4K |
| 76514 |
|
516 |
504 |
$3K |
| 92145 |
|
744 |
679 |
$2K |
| 66761 |
|
19 |
14 |
$2K |
| V2020 |
Frames, purchases |
91 |
51 |
$981.16 |
| 92015 |
Determination of refractive state |
100 |
99 |
$107.78 |
| 99080 |
|
95 |
29 |
$0.00 |
| A4263 |
Permanent, long term, non-dissolvable lacrimal duct implant, each |
18 |
18 |
$0.00 |