| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,176 |
5,854 |
$289K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
4,607 |
4,399 |
$251K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,195 |
1,129 |
$65K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
302 |
230 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
192 |
172 |
$7K |
| 92226 |
|
744 |
361 |
$6K |
| 92134 |
|
304 |
265 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
89 |
76 |
$3K |
| 92202 |
|
230 |
207 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
73 |
65 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
32 |
27 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
12 |
$580.76 |
| 92015 |
Determination of refractive state |
31 |
27 |
$468.66 |
| J9035 |
Injection, bevacizumab, 10 mg |
19 |
14 |
$34.34 |