| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,560 |
8,325 |
$493K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,286 |
7,998 |
$374K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,682 |
3,591 |
$308K |
| 92083 |
|
9,450 |
9,217 |
$306K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,951 |
2,876 |
$184K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,646 |
3,504 |
$162K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,583 |
2,530 |
$158K |
| 92134 |
|
10,104 |
9,799 |
$155K |
| 92202 |
|
15,673 |
15,348 |
$141K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,899 |
1,650 |
$121K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,369 |
1,364 |
$106K |
| 92226 |
|
7,644 |
4,244 |
$101K |
| 68761 |
|
2,126 |
1,137 |
$91K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
509 |
470 |
$87K |
| 92133 |
|
3,980 |
3,909 |
$78K |
| 92225 |
|
4,166 |
2,323 |
$75K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,216 |
2,145 |
$72K |
| 92020 |
|
5,703 |
5,524 |
$67K |
| 93886 |
|
1,428 |
1,347 |
$50K |
| 93892 |
|
1,419 |
1,346 |
$45K |
| 93890 |
|
1,420 |
1,347 |
$41K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,333 |
1,152 |
$40K |
| 92250 |
|
1,200 |
1,167 |
$30K |
| 92002 |
|
505 |
504 |
$30K |
| 92060 |
|
520 |
510 |
$24K |
| 92286 |
|
1,191 |
1,143 |
$24K |
| 92285 |
|
1,464 |
1,415 |
$21K |
| 92136 |
|
1,148 |
1,047 |
$21K |
| 92273 |
|
356 |
331 |
$13K |
| V2020 |
Frames, purchases |
1,674 |
1,641 |
$10K |
| 92201 |
|
633 |
593 |
$8K |
| J0178 |
Injection, aflibercept, 1 mg |
14 |
12 |
$7K |
| 99215 |
Prolong outpt/office vis |
139 |
129 |
$7K |
| 66982 |
|
41 |
37 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
897 |
456 |
$6K |
| 92235 |
|
161 |
154 |
$6K |
| 76512 |
|
246 |
175 |
$6K |
| 76514 |
|
1,119 |
1,086 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
754 |
463 |
$5K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
254 |
254 |
$5K |
| 66761 |
|
40 |
31 |
$4K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
262 |
136 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,156 |
597 |
$2K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
66 |
66 |
$2K |
| 92145 |
|
183 |
183 |
$2K |
| 92015 |
Determination of refractive state |
400 |
399 |
$946.42 |
| 99441 |
|
30 |
30 |
$796.33 |
| 92025 |
|
25 |
24 |
$503.86 |
| 83861 |
|
95 |
57 |
$330.46 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
20 |
12 |
$190.32 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
35 |
18 |
$90.41 |
| 99072 |
|
332 |
326 |
$35.00 |
| 99080 |
|
406 |
79 |
$0.00 |
| A4262 |
Temporary, absorbable lacrimal duct implant, each |
55 |
53 |
$0.00 |