| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,128 |
758 |
$174K |
| 65800 |
|
1,157 |
781 |
$166K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,698 |
3,144 |
$125K |
| 92250 |
|
3,284 |
3,092 |
$119K |
| 92134 |
|
4,129 |
3,442 |
$80K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,484 |
1,374 |
$76K |
| 92015 |
Determination of refractive state |
2,722 |
2,587 |
$50K |
| 92226 |
|
1,624 |
890 |
$49K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,550 |
1,495 |
$44K |
| 92225 |
|
1,287 |
697 |
$40K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
45 |
39 |
$37K |
| J9035 |
Injection, bevacizumab, 10 mg |
673 |
360 |
$31K |
| 76512 |
|
191 |
114 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
312 |
279 |
$10K |
| 92202 |
|
736 |
618 |
$5K |
| 92020 |
|
326 |
314 |
$5K |
| 92083 |
|
83 |
74 |
$3K |
| V2020 |
Frames, purchases |
125 |
93 |
$3K |
| 92133 |
|
112 |
103 |
$3K |
| J3590 |
Unclassified biologics |
64 |
37 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
87 |
60 |
$2K |
| 92136 |
|
15 |
15 |
$510.16 |
| 92201 |
|
50 |
36 |
$407.44 |