| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
5,606 |
4,823 |
$941K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
686 |
666 |
$448K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14,991 |
13,981 |
$434K |
| 92250 |
|
13,208 |
12,962 |
$332K |
| J9035 |
Injection, bevacizumab, 10 mg |
4,441 |
3,829 |
$301K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13,907 |
12,978 |
$301K |
| 92235 |
|
6,081 |
6,065 |
$289K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,982 |
2,973 |
$154K |
| 92134 |
|
7,586 |
6,905 |
$152K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,518 |
2,510 |
$69K |
| 92133 |
|
3,080 |
3,071 |
$62K |
| 92083 |
|
2,775 |
2,769 |
$53K |
| 92136 |
|
979 |
973 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,206 |
1,205 |
$34K |
| 92020 |
|
2,457 |
2,452 |
$32K |
| 95930 |
|
1,095 |
1,083 |
$27K |
| 92015 |
Determination of refractive state |
5,430 |
5,393 |
$25K |
| V2020 |
Frames, purchases |
2,282 |
2,282 |
$22K |
| 67228 |
|
91 |
84 |
$19K |
| 83861 |
|
1,458 |
738 |
$18K |
| 92341 |
|
1,686 |
1,686 |
$17K |
| J7999 |
Compounded drug, not otherwise classified |
471 |
393 |
$13K |
| 76514 |
|
1,536 |
1,531 |
$12K |
| 68761 |
|
139 |
70 |
$11K |
| 99205 |
Prolong outpt/office vis |
55 |
55 |
$3K |
| 92081 |
|
135 |
135 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
280 |
280 |
$2K |
| 76512 |
|
29 |
25 |
$653.96 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42 |
41 |
$600.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$72.22 |