| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,514 |
3,273 |
$248K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,808 |
4,674 |
$209K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,968 |
4,793 |
$196K |
| 68761 |
|
4,216 |
2,061 |
$122K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
674 |
580 |
$88K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,748 |
2,726 |
$54K |
| 92250 |
|
2,659 |
2,636 |
$39K |
| 92134 |
|
2,843 |
2,761 |
$24K |
| 92083 |
|
2,061 |
2,044 |
$22K |
| J9035 |
Injection, bevacizumab, 10 mg |
593 |
505 |
$20K |
| 92133 |
|
1,846 |
1,836 |
$19K |
| 65855 |
|
214 |
188 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
183 |
182 |
$11K |
| 92015 |
Determination of refractive state |
2,493 |
2,493 |
$8K |
| V2020 |
Frames, purchases |
674 |
674 |
$6K |
| 92341 |
|
199 |
199 |
$2K |
| 92136 |
|
65 |
65 |
$2K |
| 66030 |
|
121 |
105 |
$630.40 |
| 76514 |
|
82 |
81 |
$244.34 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
14 |
$168.00 |
| 99443 |
|
18 |
18 |
$51.92 |