| Code | Description | Claims | Beneficiaries | Total Paid |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
1,451 |
801 |
$259K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,694 |
1,235 |
$111K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,627 |
1,110 |
$46K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
407 |
258 |
$30K |
| 92136 |
|
557 |
403 |
$13K |
| 92134 |
|
939 |
638 |
$12K |
| J9035 |
Injection, bevacizumab, 10 mg |
401 |
198 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
238 |
161 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
81 |
63 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
30 |
26 |
$2K |
| 92133 |
|
65 |
53 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
18 |
12 |
$409.88 |
| 92025 |
|
14 |
13 |
$309.03 |
| 92015 |
Determination of refractive state |
66 |
64 |
$141.17 |
| 1036F |
|
25 |
12 |
$0.00 |