| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,723 |
3,699 |
$248K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,828 |
1,804 |
$137K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
3,662 |
3,524 |
$121K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,825 |
3,705 |
$73K |
| 92134 |
|
6,433 |
6,095 |
$69K |
| 92015 |
Determination of refractive state |
5,166 |
5,128 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,421 |
1,385 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,231 |
1,115 |
$40K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
726 |
681 |
$27K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
265 |
194 |
$17K |
| J9035 |
Injection, bevacizumab, 10 mg |
411 |
368 |
$17K |
| 92136 |
|
554 |
465 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
122 |
121 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
70 |
69 |
$2K |
| V2020 |
Frames, purchases |
42 |
42 |
$798.00 |
| 99072 |
|
64 |
62 |
$0.00 |