| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
30,164 |
29,584 |
$1.70M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
10,703 |
10,637 |
$806K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
8,726 |
8,278 |
$380K |
| 92015 |
Determination of refractive state |
21,167 |
20,964 |
$269K |
| 92250 |
|
6,528 |
4,882 |
$129K |
| 92134 |
|
6,103 |
4,569 |
$95K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,790 |
1,720 |
$64K |
| J0178 |
Injection, aflibercept, 1 mg |
94 |
85 |
$56K |
| 92083 |
|
1,985 |
1,504 |
$51K |
| 92133 |
|
2,508 |
1,905 |
$40K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
820 |
714 |
$33K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
98 |
75 |
$16K |
| 92060 |
|
612 |
324 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
247 |
235 |
$13K |
| 92145 |
|
5,704 |
4,100 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
56 |
56 |
$5K |
| 92136 |
|
195 |
168 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
101 |
98 |
$3K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
26 |
24 |
$2K |
| 99215 |
Prolong outpt/office vis |
29 |
29 |
$2K |
| 83861 |
|
173 |
94 |
$1K |
| V2020 |
Frames, purchases |
26 |
26 |
$762.09 |
| 99443 |
|
59 |
57 |
$669.07 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
12 |
12 |
$570.60 |
| 92025 |
|
52 |
39 |
$506.13 |
| J9035 |
Injection, bevacizumab, 10 mg |
17 |
13 |
$195.67 |
| 92285 |
|
15 |
14 |
$134.35 |