| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,180 |
15,785 |
$828K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,304 |
11,853 |
$796K |
| 92134 |
|
16,322 |
14,332 |
$744K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12,525 |
11,323 |
$413K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,714 |
6,112 |
$282K |
| 92235 |
|
6,162 |
5,448 |
$280K |
| V2020 |
Frames, purchases |
14,861 |
13,045 |
$236K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,028 |
1,810 |
$228K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
5,509 |
4,554 |
$193K |
| 92060 |
|
4,202 |
3,720 |
$173K |
| 92015 |
Determination of refractive state |
19,343 |
17,480 |
$158K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,958 |
3,538 |
$130K |
| J0178 |
Injection, aflibercept, 1 mg |
945 |
772 |
$127K |
| 92083 |
|
3,701 |
3,341 |
$124K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
1,168 |
708 |
$120K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
8,361 |
6,362 |
$116K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
2,116 |
2,069 |
$103K |
| J9035 |
Injection, bevacizumab, 10 mg |
2,498 |
2,077 |
$97K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,473 |
4,792 |
$86K |
| 92133 |
|
3,362 |
3,014 |
$80K |
| 92250 |
|
1,786 |
1,615 |
$70K |
| 00142 |
|
1,975 |
1,513 |
$49K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
7,765 |
5,501 |
$35K |
| 92201 |
|
1,489 |
1,364 |
$31K |
| 92136 |
|
1,113 |
984 |
$23K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
761 |
618 |
$18K |
| 92020 |
|
953 |
886 |
$16K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
305 |
288 |
$14K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
519 |
425 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
129 |
116 |
$8K |
| 83861 |
|
695 |
294 |
$7K |
| 92225 |
|
784 |
387 |
$4K |
| 99243 |
|
28 |
28 |
$3K |
| 76514 |
|
240 |
221 |
$3K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
205 |
174 |
$2K |
| 99100 |
|
97 |
68 |
$2K |
| 92287 |
|
15 |
13 |
$2K |
| 92202 |
|
81 |
79 |
$950.10 |
| 92341 |
|
54 |
49 |
$729.33 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
57 |
41 |
$300.00 |
| 92285 |
|
12 |
12 |
$269.83 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
16 |
16 |
$199.04 |
| 92226 |
|
24 |
14 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
22 |
18 |
$0.00 |