| Code | Description | Claims | Beneficiaries | Total Paid |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
2,605 |
2,113 |
$1.21M |
| J1096 |
Dexamethasone, lacrimal ophthalmic insert, 0.1 mg |
684 |
555 |
$35K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
416 |
303 |
$11K |
| J2403 |
Chloroprocaine hcl ophthalmic, 3% gel, 1 mg |
105 |
76 |
$7K |
| J1097 |
Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml |
87 |
73 |
$2K |
| 68841 |
|
403 |
327 |
$430.77 |
| 0356T |
|
139 |
120 |
$282.55 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
30 |
29 |
$0.01 |
| G8907 |
Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility |
30 |
29 |
$0.01 |
| V2632 |
Posterior chamber intraocular lens |
45 |
40 |
$0.00 |