| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,627 |
2,266 |
$124K |
| J9035 |
Injection, bevacizumab, 10 mg |
2,269 |
1,936 |
$101K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,955 |
1,765 |
$98K |
| 92134 |
|
3,521 |
3,079 |
$73K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
921 |
840 |
$44K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
90 |
41 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
226 |
199 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
91 |
84 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
42 |
37 |
$3K |
| J3490 |
Unclassified drugs |
252 |
233 |
$3K |
| 92136 |
|
92 |
81 |
$3K |
| V2020 |
Frames, purchases |
29 |
26 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
15 |
$975.36 |
| 92133 |
|
45 |
44 |
$971.86 |
| 92015 |
Determination of refractive state |
89 |
80 |
$712.91 |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
26 |
24 |
$648.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13 |
12 |
$391.25 |