| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,757 |
3,125 |
$108K |
| 92015 |
Determination of refractive state |
3,844 |
3,508 |
$83K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,845 |
1,955 |
$78K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
841 |
774 |
$52K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,360 |
1,282 |
$40K |
| 92250 |
|
1,320 |
1,065 |
$25K |
| J9035 |
Injection, bevacizumab, 10 mg |
2,116 |
1,456 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,082 |
803 |
$16K |
| 92134 |
|
2,799 |
2,079 |
$15K |
| V2020 |
Frames, purchases |
1,050 |
999 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
391 |
227 |
$8K |
| 92083 |
|
391 |
310 |
$6K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
15 |
13 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
46 |
36 |
$1K |
| 92136 |
|
99 |
69 |
$1K |
| 92133 |
|
55 |
51 |
$758.09 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$236.16 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
13 |
12 |
$0.00 |