| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
3,128 |
2,671 |
$1.86M |
| 67028 |
Intravitreal injection of a pharmacologic agent |
3,387 |
3,291 |
$762K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,359 |
9,307 |
$400K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,881 |
3,824 |
$373K |
| 99205 |
Prolong outpt/office vis |
1,569 |
1,555 |
$268K |
| J9035 |
Injection, bevacizumab, 10 mg |
2,121 |
2,053 |
$174K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,178 |
2,175 |
$173K |
| 92134 |
|
5,901 |
5,798 |
$148K |
| J0178 |
Injection, aflibercept, 1 mg |
60 |
59 |
$95K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,984 |
2,784 |
$88K |
| 92250 |
|
2,595 |
2,550 |
$84K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,272 |
1,134 |
$82K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,456 |
1,449 |
$70K |
| 66982 |
|
63 |
49 |
$43K |
| 92136 |
|
1,874 |
1,015 |
$34K |
| 92133 |
|
1,052 |
1,052 |
$26K |
| 92083 |
|
747 |
744 |
$24K |
| 66821 |
|
124 |
109 |
$16K |
| V2020 |
Frames, purchases |
1,028 |
1,015 |
$16K |
| 92015 |
Determination of refractive state |
1,565 |
1,564 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
370 |
366 |
$5K |
| 92025 |
|
145 |
145 |
$3K |
| 92235 |
|
38 |
38 |
$2K |
| 68761 |
|
12 |
12 |
$2K |
| 92020 |
|
66 |
65 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
39 |
$1K |
| 76514 |
|
58 |
57 |
$614.81 |
| 76512 |
|
17 |
14 |
$496.87 |
| 92341 |
|
14 |
14 |
$387.80 |
| 92201 |
|
19 |
19 |
$269.76 |
| J1095 |
Injection, dexamethasone 9 percent, intraocular, 1 microgram |
19 |
14 |
$101.38 |