| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92060 |
|
4,603 |
4,525 |
$198K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,278 |
4,203 |
$189K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,273 |
2,253 |
$174K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,246 |
1,715 |
$128K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,969 |
1,930 |
$64K |
| 92134 |
|
2,552 |
2,364 |
$49K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,026 |
982 |
$44K |
| 92242 |
|
402 |
390 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
619 |
592 |
$27K |
| 67210 |
|
74 |
59 |
$18K |
| 92015 |
Determination of refractive state |
1,542 |
1,518 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
85 |
84 |
$7K |
| 92083 |
|
123 |
120 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
81 |
81 |
$5K |
| 92133 |
|
176 |
170 |
$4K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
17 |
15 |
$4K |
| 92235 |
|
29 |
28 |
$845.49 |
| 92020 |
|
74 |
74 |
$696.18 |
| 92250 |
|
14 |
14 |
$341.22 |
| 92201 |
|
14 |
14 |
$168.85 |
| J9035 |
Injection, bevacizumab, 10 mg |
249 |
207 |
$0.00 |
| J0178 |
Injection, aflibercept, 1 mg |
358 |
322 |
$0.00 |
| J7999 |
Compounded drug, not otherwise classified |
177 |
147 |
$0.00 |