| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,567 |
8,518 |
$462K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
1,496 |
1,216 |
$266K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,539 |
6,337 |
$253K |
| J0178 |
Injection, aflibercept, 1 mg |
212 |
162 |
$240K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,928 |
2,915 |
$222K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,380 |
2,373 |
$196K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
3,564 |
3,530 |
$161K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,661 |
3,543 |
$151K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,215 |
2,190 |
$122K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
2,354 |
2,325 |
$110K |
| 92134 |
|
6,559 |
6,333 |
$108K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,298 |
2,162 |
$103K |
| 92083 |
|
2,360 |
2,327 |
$71K |
| 92015 |
Determination of refractive state |
6,862 |
6,756 |
$70K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,209 |
2,042 |
$60K |
| 92133 |
|
2,659 |
2,630 |
$45K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
724 |
723 |
$43K |
| 92136 |
|
1,533 |
1,491 |
$31K |
| V2020 |
Frames, purchases |
714 |
710 |
$23K |
| J9035 |
Injection, bevacizumab, 10 mg |
348 |
281 |
$22K |
| 92002 |
|
420 |
412 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
520 |
520 |
$10K |
| 92250 |
|
504 |
479 |
$5K |
| 67228 |
|
26 |
24 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
270 |
270 |
$2K |
| J3590 |
Unclassified biologics |
114 |
78 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
128 |
128 |
$1K |
| 92341 |
|
25 |
25 |
$564.50 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$521.40 |
| 76514 |
|
78 |
78 |
$430.70 |
| 2023F |
|
87 |
86 |
$0.05 |
| 2022F |
|
58 |
58 |
$0.00 |