| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,299 |
5,391 |
$288K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,150 |
3,009 |
$202K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,054 |
4,586 |
$190K |
| 92015 |
Determination of refractive state |
13,745 |
12,750 |
$185K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,762 |
1,685 |
$149K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,317 |
1,232 |
$128K |
| J0178 |
Injection, aflibercept, 1 mg |
188 |
142 |
$104K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,454 |
1,929 |
$81K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
505 |
272 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
421 |
376 |
$21K |
| 92134 |
|
1,969 |
1,669 |
$20K |
| 99222 |
Initial hospital care, per day, moderate complexity |
204 |
198 |
$19K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
513 |
462 |
$18K |
| J9035 |
Injection, bevacizumab, 10 mg |
655 |
528 |
$18K |
| 92060 |
|
432 |
423 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
400 |
355 |
$8K |
| 92133 |
|
68 |
68 |
$865.05 |
| 92250 |
|
41 |
38 |
$791.85 |
| 92002 |
|
12 |
12 |
$601.00 |