| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,289 |
2,959 |
$102K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
131 |
121 |
$25K |
| 92250 |
|
933 |
911 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
517 |
516 |
$12K |
| 92082 |
|
1,189 |
1,180 |
$11K |
| 92133 |
|
1,196 |
1,183 |
$10K |
| 92134 |
|
1,428 |
1,364 |
$10K |
| 92100 |
|
1,050 |
1,039 |
$9K |
| 99205 |
Prolong outpt/office vis |
262 |
262 |
$8K |
| 92020 |
|
1,147 |
1,137 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
251 |
245 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
131 |
131 |
$5K |
| J9035 |
Injection, bevacizumab, 10 mg |
128 |
120 |
$4K |
| 92202 |
|
486 |
466 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
92 |
92 |
$2K |
| V2020 |
Frames, purchases |
293 |
237 |
$2K |
| 99215 |
Prolong outpt/office vis |
30 |
28 |
$1K |
| 92015 |
Determination of refractive state |
210 |
208 |
$854.57 |
| 76514 |
|
151 |
149 |
$224.05 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
13 |
13 |
$58.17 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
14 |
14 |
$0.00 |
| 92341 |
|
19 |
18 |
$0.00 |