| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
24,752 |
23,542 |
$1.15M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,387 |
6,313 |
$520K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,720 |
2,720 |
$275K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,883 |
1,882 |
$273K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,742 |
2,691 |
$205K |
| 92134 |
|
7,525 |
7,146 |
$164K |
| 92060 |
|
3,141 |
3,121 |
$142K |
| 92002 |
|
3,645 |
3,639 |
$140K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,565 |
1,500 |
$109K |
| 99233 |
Prolong inpt eval add15 m |
478 |
214 |
$46K |
| 92083 |
|
1,384 |
1,371 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
614 |
543 |
$36K |
| 92015 |
Determination of refractive state |
1,346 |
1,345 |
$24K |
| 99222 |
Initial hospital care, per day, moderate complexity |
189 |
181 |
$21K |
| J0178 |
Injection, aflibercept, 1 mg |
40 |
36 |
$20K |
| 92133 |
|
930 |
925 |
$17K |
| 92201 |
|
1,068 |
743 |
$15K |
| 92226 |
|
442 |
218 |
$10K |
| 92202 |
|
844 |
833 |
$8K |
| 92020 |
|
360 |
357 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
56 |
56 |
$4K |
| 31231 |
|
19 |
15 |
$4K |
| 92250 |
|
163 |
163 |
$3K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
13 |
13 |
$1K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
106 |
106 |
$991.24 |
| 76512 |
|
13 |
13 |
$600.46 |
| 92025 |
|
14 |
14 |
$288.55 |
| 76514 |
|
14 |
14 |
$110.18 |
| 1036F |
|
430 |
413 |
$0.00 |
| 2022F |
|
38 |
36 |
$0.00 |
| 99072 |
|
17 |
16 |
$0.00 |