| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
3,821 |
3,504 |
$540K |
| 92134 |
|
9,915 |
8,072 |
$264K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,844 |
3,537 |
$251K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,649 |
1,273 |
$237K |
| 99205 |
Prolong outpt/office vis |
877 |
876 |
$171K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,299 |
3,099 |
$123K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
177 |
126 |
$97K |
| 92226 |
|
1,978 |
1,813 |
$96K |
| 92083 |
|
2,001 |
1,979 |
$71K |
| 92133 |
|
2,209 |
2,172 |
$64K |
| J9035 |
Injection, bevacizumab, 10 mg |
969 |
776 |
$63K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
619 |
618 |
$61K |
| 92201 |
|
3,255 |
2,981 |
$59K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
598 |
597 |
$59K |
| 92025 |
|
1,948 |
1,878 |
$54K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
699 |
698 |
$28K |
| 92015 |
Determination of refractive state |
2,034 |
2,028 |
$18K |
| V2020 |
Frames, purchases |
719 |
717 |
$15K |
| 92235 |
|
125 |
124 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
162 |
162 |
$9K |
| 92136 |
|
184 |
167 |
$9K |
| 92225 |
|
233 |
233 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
434 |
433 |
$5K |
| 92250 |
|
135 |
132 |
$5K |
| 92202 |
|
328 |
294 |
$3K |
| 92060 |
|
56 |
53 |
$2K |
| 92341 |
|
88 |
88 |
$2K |
| 66821 |
|
15 |
12 |
$1K |
| 76514 |
|
60 |
60 |
$451.85 |
| 92286 |
|
28 |
25 |
$206.01 |
| 92285 |
|
12 |
12 |
$178.00 |
| 99072 |
|
22 |
15 |
$0.00 |