| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14,278 |
14,069 |
$252K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
3,923 |
3,605 |
$164K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
1,365 |
1,157 |
$106K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
6,686 |
6,425 |
$78K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,216 |
2,155 |
$59K |
| 92134 |
|
7,549 |
7,282 |
$39K |
| 92083 |
|
2,802 |
2,760 |
$28K |
| 92250 |
|
3,333 |
3,283 |
$28K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,487 |
1,442 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
982 |
949 |
$23K |
| J0178 |
Injection, aflibercept, 1 mg |
74 |
73 |
$19K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
663 |
660 |
$12K |
| 92136 |
|
1,132 |
1,122 |
$12K |
| 92133 |
|
2,247 |
2,214 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
377 |
374 |
$9K |
| 67950 |
|
53 |
53 |
$5K |
| 92025 |
|
401 |
398 |
$4K |
| 92020 |
|
831 |
820 |
$3K |
| 92226 |
|
809 |
664 |
$2K |
| 92201 |
|
497 |
489 |
$2K |
| 65855 |
|
66 |
43 |
$2K |
| 15823 |
|
12 |
12 |
$2K |
| 92015 |
Determination of refractive state |
125 |
125 |
$867.64 |
| 76514 |
|
246 |
245 |
$649.68 |
| 92082 |
|
100 |
100 |
$543.66 |
| 92285 |
|
37 |
37 |
$34.32 |
| 92202 |
|
27 |
27 |
$26.44 |
| 3284F |
|
18 |
18 |
$0.00 |
| G9974 |
Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity |
23 |
23 |
$0.00 |