| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
11,117 |
9,823 |
$339K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
1,369 |
1,281 |
$312K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,871 |
1,866 |
$222K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,904 |
7,849 |
$212K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,147 |
2,144 |
$148K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,990 |
2,878 |
$124K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
683 |
679 |
$77K |
| 92250 |
|
4,351 |
4,299 |
$70K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,738 |
1,596 |
$63K |
| J0178 |
Injection, aflibercept, 1 mg |
58 |
57 |
$61K |
| J9035 |
Injection, bevacizumab, 10 mg |
914 |
900 |
$49K |
| 92015 |
Determination of refractive state |
1,467 |
1,466 |
$30K |
| 68761 |
|
386 |
353 |
$28K |
| 92083 |
|
1,258 |
1,249 |
$28K |
| 92134 |
|
3,425 |
3,382 |
$28K |
| V2020 |
Frames, purchases |
1,249 |
1,248 |
$26K |
| 92136 |
|
1,110 |
1,099 |
$25K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
811 |
810 |
$16K |
| 66821 |
|
117 |
106 |
$11K |
| 92341 |
|
390 |
390 |
$9K |
| 92133 |
|
721 |
712 |
$6K |
| 92020 |
|
47 |
46 |
$961.85 |
| 67820 |
|
97 |
95 |
$740.94 |
| 65205 |
|
41 |
40 |
$458.34 |
| 68801 |
|
13 |
12 |
$452.20 |
| 65210 |
|
40 |
39 |
$354.11 |