| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0620 |
Routine ophthalmological examination including refraction; new patient |
11,728 |
9,885 |
$1.01M |
| J2778 |
Injection, ranibizumab, 0.1 mg |
2,083 |
1,595 |
$995K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
10,273 |
9,037 |
$744K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
4,350 |
3,053 |
$620K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
8,674 |
5,594 |
$393K |
| J2777 |
Injection, faricimab-svoa, 0.1 mg |
408 |
324 |
$368K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
13,816 |
12,248 |
$251K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,373 |
5,153 |
$197K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,222 |
7,132 |
$188K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,671 |
2,051 |
$178K |
| 92134 |
|
11,857 |
8,926 |
$150K |
| 92370 |
|
17,939 |
15,604 |
$113K |
| 92136 |
|
3,743 |
2,891 |
$54K |
| 67228 |
|
190 |
112 |
$53K |
| J9035 |
Injection, bevacizumab, 10 mg |
2,050 |
1,412 |
$51K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,921 |
1,720 |
$46K |
| J0178 |
Injection, aflibercept, 1 mg |
73 |
62 |
$42K |
| 92341 |
|
1,113 |
1,008 |
$23K |
| 68761 |
|
467 |
398 |
$22K |
| 92250 |
|
1,238 |
1,026 |
$16K |
| 92015 |
Determination of refractive state |
1,575 |
1,045 |
$15K |
| 92235 |
|
353 |
312 |
$14K |
| 92083 |
|
539 |
473 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
238 |
202 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
777 |
574 |
$8K |
| 92133 |
|
366 |
279 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
99 |
60 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
152 |
116 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
275 |
243 |
$4K |
| 92285 |
|
339 |
280 |
$963.73 |
| 92020 |
|
72 |
56 |
$526.30 |
| 67820 |
|
14 |
13 |
$100.88 |