| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
628 |
621 |
$568K |
| 68761 |
|
4,866 |
2,385 |
$528K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
9,801 |
9,647 |
$380K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
7,903 |
7,550 |
$299K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,346 |
2,346 |
$113K |
| 66821 |
|
553 |
470 |
$94K |
| 68810 |
|
333 |
317 |
$66K |
| 92020 |
|
2,818 |
2,803 |
$58K |
| 92136 |
|
858 |
841 |
$54K |
| 92133 |
|
1,342 |
1,340 |
$46K |
| 92083 |
|
1,463 |
1,457 |
$45K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
47 |
41 |
$16K |
| 67210 |
|
35 |
27 |
$12K |
| 92134 |
|
343 |
330 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
146 |
146 |
$10K |
| 67820 |
|
250 |
247 |
$9K |
| 92226 |
|
150 |
122 |
$7K |
| 92015 |
Determination of refractive state |
1,579 |
1,573 |
$6K |
| 68020 |
|
60 |
60 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
136 |
136 |
$5K |
| 92235 |
|
44 |
44 |
$4K |
| 92250 |
|
87 |
87 |
$3K |
| 67700 |
|
33 |
32 |
$3K |
| J9035 |
Injection, bevacizumab, 10 mg |
42 |
38 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
260 |
252 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
134 |
127 |
$3K |
| 65205 |
|
33 |
32 |
$2K |
| 76512 |
|
37 |
37 |
$2K |
| 92225 |
|
39 |
39 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
68 |
67 |
$2K |
| 76514 |
|
46 |
46 |
$495.13 |
| V2025 |
Deluxe frame |
19 |
19 |
$493.62 |
| V2020 |
Frames, purchases |
82 |
76 |
$487.62 |
| 92201 |
|
13 |
13 |
$335.14 |