| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,297 |
4,145 |
$126K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
866 |
755 |
$101K |
| 92134 |
|
2,307 |
2,186 |
$49K |
| 92083 |
|
622 |
596 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,057 |
972 |
$29K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
533 |
511 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
439 |
417 |
$15K |
| 92133 |
|
329 |
321 |
$8K |
| 92015 |
Determination of refractive state |
2,053 |
2,006 |
$8K |
| V2020 |
Frames, purchases |
256 |
175 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
111 |
107 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
216 |
201 |
$3K |
| 92020 |
|
145 |
134 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$944.38 |
| 92060 |
|
31 |
29 |
$845.31 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
480 |
171 |
$335.00 |
| J0178 |
Injection, aflibercept, 1 mg |
41 |
38 |
$0.00 |