| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,230 |
852 |
$308K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,732 |
2,660 |
$118K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,441 |
1,440 |
$74K |
| 92134 |
|
1,947 |
1,876 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,666 |
1,626 |
$56K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,985 |
1,984 |
$51K |
| J9035 |
Injection, bevacizumab, 10 mg |
506 |
446 |
$40K |
| 92015 |
Determination of refractive state |
1,319 |
1,319 |
$24K |
| 92083 |
|
804 |
795 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
798 |
763 |
$18K |
| 92133 |
|
590 |
586 |
$16K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
369 |
356 |
$13K |
| 92250 |
|
208 |
207 |
$7K |
| 92235 |
|
97 |
66 |
$5K |
| V2020 |
Frames, purchases |
168 |
168 |
$2K |
| 2022F |
|
380 |
371 |
$1K |
| 92287 |
|
13 |
13 |
$450.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
24 |
24 |
$407.19 |
| 92341 |
|
12 |
12 |
$257.58 |
| 92025 |
|
12 |
12 |
$214.56 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$171.50 |
| 2023F |
|
81 |
80 |
$126.64 |
| 76514 |
|
13 |
13 |
$100.70 |
| 2024F |
|
59 |
58 |
$0.00 |
| 2026F |
|
55 |
54 |
$0.00 |
| 2021F |
|
24 |
24 |
$0.00 |