| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
862 |
657 |
$101K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,233 |
1,389 |
$77K |
| J0178 |
Injection, aflibercept, 1 mg |
197 |
103 |
$67K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,061 |
2,561 |
$57K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,022 |
557 |
$48K |
| 99252 |
|
535 |
383 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
608 |
516 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
687 |
591 |
$15K |
| 92134 |
|
949 |
816 |
$9K |
| 92250 |
|
697 |
604 |
$7K |
| J9035 |
Injection, bevacizumab, 10 mg |
370 |
309 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
494 |
402 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
361 |
326 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
129 |
112 |
$6K |
| 92002 |
|
108 |
96 |
$4K |
| 92136 |
|
159 |
141 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
98 |
90 |
$3K |
| 76519 |
|
137 |
120 |
$2K |
| 92133 |
|
83 |
76 |
$1K |
| 92015 |
Determination of refractive state |
118 |
71 |
$906.57 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$589.61 |
| 92083 |
|
16 |
14 |
$563.42 |
| 92020 |
|
27 |
26 |
$189.20 |
| 92226 |
|
111 |
69 |
$0.00 |
| 92201 |
|
1,426 |
683 |
$0.00 |
| 92225 |
|
52 |
48 |
$0.00 |