| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,913 |
2,968 |
$242K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,007 |
1,297 |
$41K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
296 |
220 |
$18K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
171 |
92 |
$14K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
963 |
468 |
$13K |
| J0178 |
Injection, aflibercept, 1 mg |
26 |
12 |
$8K |
| 92134 |
|
4,109 |
2,370 |
$6K |
| 92136 |
|
225 |
74 |
$4K |
| 92226 |
|
3,553 |
1,176 |
$2K |
| 99215 |
Prolong outpt/office vis |
537 |
255 |
$2K |
| 92015 |
Determination of refractive state |
1,055 |
799 |
$2K |
| 92250 |
|
606 |
367 |
$912.71 |
| 92235 |
|
132 |
90 |
$703.31 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
159 |
102 |
$467.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
47 |
30 |
$397.06 |
| 92083 |
|
163 |
121 |
$382.95 |
| 92133 |
|
253 |
182 |
$321.64 |
| 92286 |
|
87 |
71 |
$254.48 |
| 92020 |
|
273 |
180 |
$231.75 |
| 92202 |
|
330 |
234 |
$131.31 |
| 92285 |
|
69 |
50 |
$28.35 |
| 76514 |
|
52 |
38 |
$8.92 |
| 92225 |
|
68 |
13 |
$0.00 |