| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,321 |
2,123 |
$581K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,334 |
8,067 |
$539K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,287 |
4,281 |
$374K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
84 |
81 |
$210K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,516 |
2,494 |
$178K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,312 |
2,310 |
$165K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,864 |
2,740 |
$146K |
| 92134 |
|
5,382 |
5,240 |
$146K |
| J9035 |
Injection, bevacizumab, 10 mg |
2,052 |
1,463 |
$83K |
| 92083 |
|
1,567 |
1,558 |
$81K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,113 |
1,096 |
$75K |
| 92133 |
|
1,707 |
1,697 |
$48K |
| 92250 |
|
1,146 |
1,123 |
$42K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
702 |
699 |
$37K |
| 67228 |
|
13 |
13 |
$19K |
| 92136 |
|
302 |
193 |
$11K |
| V2020 |
Frames, purchases |
457 |
457 |
$9K |
| 66821 |
|
29 |
26 |
$8K |
| 92025 |
|
343 |
338 |
$7K |
| 68761 |
|
50 |
49 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
178 |
177 |
$7K |
| 76514 |
|
373 |
372 |
$5K |
| 92002 |
|
38 |
38 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
187 |
187 |
$4K |
| 92015 |
Determination of refractive state |
945 |
945 |
$3K |
| 92341 |
|
38 |
38 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
19 |
19 |
$1K |
| 76511 |
|
16 |
16 |
$659.20 |
| 92202 |
|
119 |
114 |
$604.80 |
| 76512 |
|
15 |
13 |
$525.00 |
| 99215 |
Prolong outpt/office vis |
23 |
23 |
$226.52 |
| 2022F |
|
2,468 |
2,408 |
$0.05 |
| 2021F |
|
450 |
430 |
$0.03 |
| 2024F |
|
802 |
778 |
$0.03 |
| 2026F |
|
651 |
631 |
$0.02 |
| 2023F |
|
1,197 |
1,188 |
$0.00 |
| 99024 |
|
80 |
52 |
$0.00 |