| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
882 |
835 |
$65K |
| J0178 |
Injection, aflibercept, 1 mg |
85 |
60 |
$30K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,527 |
1,087 |
$25K |
| 92015 |
Determination of refractive state |
1,449 |
1,349 |
$20K |
| V2020 |
Frames, purchases |
494 |
462 |
$16K |
| 92134 |
|
1,841 |
1,403 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
52 |
51 |
$6K |
| J9035 |
Injection, bevacizumab, 10 mg |
151 |
124 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
23 |
13 |
$577.64 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$501.50 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$379.38 |