| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
4,000 |
2,270 |
$1.22M |
| 65778 |
|
273 |
230 |
$431K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
418 |
392 |
$381K |
| 68761 |
|
3,363 |
1,674 |
$324K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,940 |
3,786 |
$296K |
| 92134 |
|
6,623 |
6,218 |
$240K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,339 |
5,974 |
$210K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,206 |
4,053 |
$194K |
| 92226 |
|
4,258 |
2,108 |
$181K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,959 |
3,682 |
$179K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,722 |
2,708 |
$176K |
| 92225 |
|
3,427 |
1,675 |
$164K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,589 |
1,586 |
$133K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,285 |
1,277 |
$126K |
| J7999 |
Compounded drug, not otherwise classified |
1,428 |
1,172 |
$121K |
| 65855 |
|
520 |
477 |
$108K |
| 92083 |
|
2,717 |
2,660 |
$103K |
| 76512 |
|
1,399 |
804 |
$90K |
| J9035 |
Injection, bevacizumab, 10 mg |
757 |
725 |
$68K |
| 92133 |
|
1,318 |
1,297 |
$42K |
| 92015 |
Determination of refractive state |
2,635 |
2,609 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
881 |
841 |
$23K |
| 93890 |
|
78 |
78 |
$18K |
| 92273 |
|
119 |
116 |
$17K |
| 93886 |
|
65 |
65 |
$14K |
| 93892 |
|
78 |
78 |
$13K |
| 92202 |
|
924 |
905 |
$13K |
| 92201 |
|
505 |
484 |
$12K |
| 92250 |
|
180 |
178 |
$8K |
| 76519 |
|
151 |
117 |
$8K |
| 95930 |
|
161 |
158 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
93 |
93 |
$5K |
| 67840 |
|
12 |
12 |
$2K |
| 92060 |
|
33 |
33 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
13 |
$186.11 |